Current through Register Vol. 49, No. 9, September, 2024
Section 3.
Definitions
For the purpose of this regulation:
A.
(1)
"Advertisement" means material designed to create public interest in life
insurance or annuities or in an insurer, or in an insurance producer; or to
induce the public to purchase, increase, modify, reinstate, borrow on,
surrender, replace or retain a policy including:
(a) Printed and published material,
audiovisual material and descriptive literature of an insurer or insurance
producer used in direct mail, newspapers, magazines, radio and television
scripts, telemarketing scripts, billboards and similar displays, and the
Internet or any other mass communication media.
(b) Descriptive literature and sales aids of
all kinds, authored by the insurer, its insurance producers, or third parties,
issued, distributed or used by the insurer or insurance producer; including but
not limited to circulars, leaflets, booklets, web pages, depictions,
illustrations and form letters;
(c)
Material used for the recruitment, training and education of an insurer's
insurance producers which is designed to be used or is used to induce the
public to purchase, increase, modify, reinstate, borrow on, surrender, replace
or retain a policy;
(d) Prepared
sales talks, presentations and materials for use by insurance
producers.
(2)
"Advertisement" for the purpose of this regulation shall not include:
(a) Communications or materials used within
an insurer's own organization and not intended for dissemination to the
public;
(b) Communications with
policyholders other than material urging policyholders to purchase, increase,
modify, reinstate or retain a policy; and
(c) A general announcement from a group or
blanket policyholder to eligible individuals on an employment or membership
list that a policy or program has been written or arranged; provided the
announcement clearly indicates that it is preliminary to the issuance of a
booklet explaining the proposed coverage.
B. "Determinable policy 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 policy elements only, or from both determinable and
guaranteed policy elements.
C.
"Guaranteed policy elements" means the premiums, benefits, values, credits or
charges under a policy, or elements of formulas used to determine any of these
that are guaranteed and determined at issue.
D "Insurance producer" means a person
required to be licensed under the laws of this state to sell, solicit or
negotiate insurance.
E. "Insurer"
means any individual, corporation, association, partnership, reciprocal
exchange, inter-insurer, Lloyd's, fraternal benefit society, and any other
legal entity which is defined as an "insurer" in the insurance code of this
state or issues life insurance or annuities in this state and is engaged in the
advertisement of a policy.
F.
"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.
G. "Policy" means any
policy, plan, certificate, including a fraternal benefit certificate, contract,
agreement, statement of coverage, rider or endorsement which provides for life
insurance or annuity benefits.
H.
"Prepaid funeral contract or prearrangement" means an arrangement by or for an
individual before the individual's death relating to the purchase or provision
of specific funeral or cemetery merchandise or services.
Section 5.
Form and Content of Advertisements
A. Advertisements shall be truthful and not
misleading in fact or by implication. The form and content of an advertisement
of a policy shall be sufficiently complete and clear so as to avoid deception.
It shall not have the capacity or tendency to mislead or deceive. Whether an
advertisement has the capacity or tendency to mislead or deceive shall be
determined by the Commissioner of Insurance from the overall impression that
the advertisement may be reasonably expected to create upon a person of average
education or intelligence within the segment of the public to which it is
directed.
B. No advertisement shall
use the terms "investment," "investment plan," "founder's plan," "charter
plan," "deposit," "expansion plan," "profit," "profits," "profit sharing,"
"interest plan," "savings," "savings plan," "private pension plan," "retirement
plan" or other similar terms in connection with a policy in a context or under
such circumstances or conditions as to have the capacity or tendency to mislead
a purchaser or prospective purchaser of such policy to believe that he will
receive, or that it is possible that he will receive, something other than a
policy or some benefit not available to other persons of the same class and
equal expectation of life.
Section
6.
Disclosure Requirements
A. The information required to be disclosed
by this regulation shall not be minimized, rendered obscure, or presented in an
ambiguous fashion or intermingled with the text of the advertisement so as to
be confusing or misleading.
B. An
advertisement shall not omit material information or use words, phrases,
statements, references or illustrations if the omission or use has the
capacity, tendency or effect of misleading or deceiving purchasers or
prospective purchasers as to the nature or extent of any policy benefit
payable, loss covered, premium payable, or state or federal tax consequences.
The fact that the policy offered is made available to a prospective insured for
inspection prior to consummation of the sale, or an offer is made to refund the
premium if the purchaser is not satisfied or that the policy or contract
includes a "free look" period that satisfies or exceeds regulatory
requirements, does not remedy misleading statements.
C. In the event an advertisement uses
"non-medical," "no medical examination required," or similar terms where issue
is not guaranteed, terms shall be accompanied by a further disclosure of equal
prominence and in juxtaposition thereto to the effect that issuance of the
policy may depend upon the answers to the health questions set forth in the
application.
D. An advertisement
shall not use as the name or title of a life insurance policy any phrase that
does not include the words "life insurance" unless accompanied by other
language clearly indicating it is life insurance. An advertisement shall not
use as the name or title of an annuity contract any phrase that does not
include the word "annuity" unless accompanied by other language clearly
indicating it is an annuity. An annuity advertisement shall not refer to an
annuity as a CD annuity, or deceptively compare an annuity to a certificate of
deposit.
E. An advertisement shall
prominently describe the type of policy advertised.
F. An advertisement of an insurance policy
marketed by direct response techniques shall not state or imply that because
there is no insurance producer or commission involved there will be a cost
saving to prospective purchasers unless that is the fact. No cost savings may
be stated or implied without justification satisfactory to the commissioner
prior to use.
G. An advertisement
for a life insurance policy containing graded or modified benefits shall
prominently display any limitation of benefits. If the premium is level and
coverage decreases or increases with age or duration, that fact shall be
commonly disclosed. An advertisement of or for a life insurance policy under
which the death benefit varies with the length of time the policy has been in
force shall accurately describe and clearly call attention to the amount of
minimum death benefit under the policy.
H. An advertisement for the types of policies
described in Subsections F and G of this section shall not use the words
"inexpensive," "low cost," or other phrase or words of similar import when the
policies being marketed are guaranteed issue.
I. Premiums
(1) An advertisement for a policy with
non-level premiums shall prominently describe the premium changes.
(2) An advertisement in which the insurer
describes a policy where it reserves the right to change the amount of the
premium during the policy term, but which does not prominently describe this
feature, is deemed to be deceptive and misleading and is prohibited.
(3) An advertisement shall not contain a
statement or representation that premiums paid for a life insurance policy can
be withdrawn under the terms of the policy. Reference may be made to amounts
paid into an advance premium fund, which are intended to pay premiums at a
future time, to the effect that they may be withdrawn under the conditions of
the prepayment agreement. Reference may also be made to withdrawal rights under
any unconditional premium refund offer.
(4) An advertisement that represents that a
pure endowment benefit has a "profit" or "return" on the premium paid, rather
than a policy benefit for which a specified premium is paid is deemed to be
deceptive and misleading and is prohibited.
(5) An advertisement shall not represent in
any way that premium payments will not be required for each year of the policy
in order to maintain the illustrated death benefits, unless that is the
fact.
(6) An advertisement shall
not use the term "vanish" or "vanishing premium," or a similar term that
implies the policy becomes paid up, to describe a plan using nonguaranteed
elements to pay a portion of future premiums.
J. Analogies between a life insurance policy
or annuity contract's cash values and savings accounts or other investments and
between premium payments and contributions to savings accounts or other
investments shall be complete and accurate. An advertisement shall not
emphasize the investment or tax features of a life insurance policy to such a
degree that the advertisement would mislead the purchaser to believe the policy
is anything other than life insurance.
K. An advertisement shall not state or imply
in any way that interest charged on a policy loan or the reduction of death
benefits by the amount of outstanding policy loans is unfair, inequitable or in
any manner an incorrect or improper practice.
L. If nonforfeiture values are shown in any
advertisement, the values must be shown either for the entire amount of the
basic life policy death benefit or for each $1,000 of initial death
benefit.
M. The words "free," "no
cost," "without cost," "no additional cost, "at no extra cost," or words of
similar import shall not be used with respect to any benefit or service being
made available with a policy unless true. If there is no charge to the insured,
then the identity of the payor shall be prominently disclosed. An advertisement
may specify the charge for a benefit or a service or may state that a charge is
included in the premium or use other appropriate language.
N. No insurance producer may use terms such
as "financial planner," "investment adviser," "financial consultant," or
"financial counseling" in such a way as to imply that he or she is generally
engaged in an advisory business in which compensation is unrelated to sales
unless that actually is the case. This provision is not intended to preclude
persons who hold some form of formal recognized financial planning or
consultant designation from using this designation even when they are only
selling insurance. This provision also is not intended to 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. This provision does not permit persons to charge an additional fee for
services that are customarily associated with the solicitation, negotiation or
servicing of policies.
O.
Nonguaranteed Elements
(1) An advertisement
shall not utilize or describe nonguaranteed elements in a manner that is
misleading or has the capacity or tendency to mislead.
(2) An advertisement shall not state or imply
that the payment or amount of nonguaranteed elements is guaranteed. If
nonguaranteed elements are illustrated, they shall be based on the insurer's
current scale and the illustration shall contain a statement to the effect that
they are not to be construed as guarantees or estimates of amounts to be paid
in the future.
(3) An advertisement
that includes any illustrations or statements containing or based upon
nonguaranteed elements shall set forth, with equal prominence, comparable
illustrations or statements containing or based upon the guaranteed policy
elements.
(4) An advertisement
shall not use or describe determinable policy elements in a manner that is
misleading or has the capacity or tendency to mislead.
(5) Advertisement may describe determinable
policy elements as guaranteed but not determinable at issue. This description
should include an explanation of how these elements operate, and their
limitations, if any.
(6) If an
advertisement refers to any nonguaranteed policy element, it shall indicate
that the insurer reserves the right to change any such element at any time and
for any reason. However, if an insurer has agreed to limit this right in any
way; such as, for example, if it has agreed to change these elements only at
certain intervals or only if there is a change in the insurer's current or
anticipated experience, the advertisement may indicate any such limitation on
the insurer's right.
(7) An
advertisement shall not refer to dividends as "tax-free" or use words of
similar import, unless the tax treatment of dividends is fully explained and
the nature of the dividend as a return of premium is indicated
clearly.
(8) An advertisement may
not state or imply that illustrated dividends under either or both a
participating policy or pure endowment will be or can be sufficient at any
future time to assure without the future payment of premiums, the receipt of
benefits, such as a paid-up policy, unless the advertisement clearly and
precisely explains the benefits or coverage provided at that time and the
conditions required for that to occur.
P. An advertisement shall not state that a
purchaser of a policy will share in or receive a stated percentage or portion
of the earnings on the general account assets of the company.
Q. Testimonials, Appraisals, Analyses, or
Endorsements by Third Parties
(1)
Testimonials, appraisals or analyses used in advertisements must be genuine;
represent the current opinion of the author; be applicable to the policy
advertised, if any; and be accurately reproduced with sufficient completeness
to avoid misleading or deceiving prospective insureds as to the nature or scope
of the testimonial, appraisal, analysis or endorsement. In using testimonials,
appraisals or analyses; the insurer or insurance producer makes as its own all
the statements contained therein, and these statements are subject to all the
provisions of this regulation.
(2)
If the individual making a testimonial, appraisal, analysis or an endorsement
has a financial interest in the insurer or related entity as a stockholder,
director, officer, employee or otherwise, or receives any benefit directly or
indirectly other than required union scale wages, that fact shall be
prominently disclosed in the advertisement.
(3) An advertisement shall not state or imply
that an insurer or a policy has been approved or endorsed by a group of
individuals, society, association or other organization unless such is the fact
and unless any proprietary relationship between an organization and the insurer
is disclosed. If the entity making the endorsement or testimonial is owned,
controlled or managed by the insurer, or receives any payment or other
consideration from the insurer for making an endorsement or testimonial, that
fact shall be disclosed in the advertisement.
(4) When an endorsement refers to benefits
received under a policy for a specific claim, the claim date, including claim
number, date of loss and other pertinent information shall be retained by the
insurer for inspection for a period of five (5) years after the discontinuance
of its use or publication.
R. An advertisement shall not contain
statistical information relating to any insurer or policy unless it accurately
reflects recent and relevant facts. The source of any statistics used in
advertisement shall be identified.
S. Policies Sold to Students
(1) The envelope in which insurance
solicitation material is contained may be addressed to the parents of students.
The address may not include any combination of words which imply that the
correspondence is from a school, college, university or other educational or
training institution nor may it imply that the institution has endorsed the
material or supplied the insurer with information about the student unless such
is a correct and truthful statement.
(2) All advertisements including, but not
limited to, informational flyers used in the solicitation of insurance shall be
identified clearly as coming from an insurer or insurance producer, if such is
the case, and these entities shall be clearly identified as such.
(3) The return address on the envelope may
not imply that the soliciting insurer or insurance producer is affiliated with
a university, college, school or other educational or training institution,
unless true.
T.
Introductory, Initial or Special Offers and Enrollment Periods
(1) An advertisement of an individual policy
or combination of policies shall not state or imply that the policy or
combination of policies is an introductory, initial or special offer, or that
applicants will receive substantial advantages not available at a later date,
or that the offer is available only to a specified group of individuals, unless
that is the fact. An advertisement shall not describe an enrollment period as
"special" or "limited" or use similar words or phrases in describing it when
the insurer uses successive enrollment periods as its usual method of marketing
its policies.
(2) An advertisement
shall not state or imply that only a specific number of policies will be sold,
or that a time is fixed for the discontinuance of the sale of the particular
policy advertised because of special advantages available in the
policy.
(3) An advertisement shall
not offer a policy that utilizes a reduced initial premium rate in a manner
that overemphasizes the availability and the amount of the reduced initial
premium. A reduced initial or first year premium may not be described as
constituting free insurance for a period of time. When an insurer charges an
initial premium that differs in amount from the amount of the renewal premium
payable on the same mode, all references to the reduced initial premium shall
be followed by an asterisk or other appropriate symbol that refers the reader
to that specific portion of the advertisement that contains the full rate
schedule for the policy being advertised.
(4) An enrollment period during which a
particular insurance policy may be purchased on an individual basis shall not
be offered within this state unless there has been a lapse of not less than two
(2) months between the close of the immediately preceding enrollment period for
the same policy and the opening of the new enrollment period. The advertisement
shall specify the date by which the applicant must mail the application, which
shall be not less than ten (10) days and not more than forty (40) days from the
date on which the enrollment period is advertised for the first time. This
regulation applies to all advertising media-i.e., mail, newspapers, radio,
television, magazines and periodicals-by any one insurer or insurance producer.
The phrase "any one insurer" includes all the affiliated companies of a group
of insurance companies under common management or control. This regulation does
not apply to the use of a termination or cutoff date beyond which an individual
application for a guaranteed issue policy will not be accepted by an insurer in
those instances where the application has been sent to the applicant in
response to his or her request. It is also inapplicable to solicitations of
employees or members of a particular group or association that otherwise would
be eligible under specified provisions of the insurance code for group, blanket
or franchise insurance. In cases where an insurance product is marketed on a
direct mail basis to prospective insureds by reason of some common relationship
with a sponsoring organization, this regulation shall be applied separately to
each sponsoring organization.
U. An advertisement of a particular policy
shall not state or imply that prospective insureds shall be or become members
of a special class, group, or quasi-group and as such enjoy special rates,
dividends or underwriting privileges, unless that is the fact.
V. An advertisement shall not make unfair or
incomplete comparisons of policies, benefits, dividends or rates of other
insurers. An advertisement shall not disparage other insurers, insurance
producers, policies, services or methods of marketing.
W. For individual deferred annuity products
or deposit funds, the following shall apply:
(1) Any illustrations or statements
containing or based upon nonguaranteed interest rates shall likewise set forth
with equal prominence comparable illustrations or statements containing or
based upon the guaranteed accumulation interest rates. The nonguaranteed
interest rates shall not be greater than those currently being credited by the
company unless the nonguaranteed rates have been publicly declared by the
company with an effective date for new issues not more than three (3) months
subsequent to the date of declaration.
(2) If an advertisement states the net
premium accumulation interest rate, whether guaranteed or not, it shall also
disclose in close proximity thereto and with equal prominence, the actual
relationship between the gross and the net premiums.
(3) If the contract does not provide a cash
surrender benefit prior to commencement of payment of annuity benefits, an
illustration or statement concerning the contract shall prominently state that
cash surrender benefits are not provided.
(4) Any illustrations, depictions or
statements containing or based on determinable policy elements shall likewise
set forth with equal prominence comparable illustrations, depictions or
statements containing or based on guaranteed policy elements.
X. An advertisement of a life
insurance policy or annuity that illustrates nonguaranteed values shall only do
so in accordance with current applicable state law relative to illustrating
such values for life insurance policies and annuity
contracts.
Section 7.
Identity of Insurer
A. The name
of the insurer shall be clearly identified in all advertisements about the
insurer or its products, and if any specific individual policy is advertised it
shall be identified either by form number or other appropriate description. If
an application is a part of the advertisement, the name of the insurer shall be
shown on the application. However, if an advertisement contains a listing of
rates or features that is a composite of several different policies or
contracts of different insurers, the advertisement shall so state, shall
indicate, if applicable, that not all policies or contracts on which the
composite is based may be available in all states, and shall provide a rating
of the lowest rated insurer and reference the rating agency, but need not
identify each insurer. If an advertisement identifies the issuing insurers,
insurance issuer ratings need not be stated.
B. An advertisement shall not use a trade
name, an insurance group designation, name of the parent company of the
insurer, name of a particular division of the insurer, a reinsurer of the
insurer, service mark, slogan, symbol or other device or reference without
disclosing the name of the insurer, if the advertisement would have the
capacity or tendency to mislead or deceive as to the true identity of the
insurer or create the impression that a company other than the insurer would
have any responsibility for the financial obligation under a policy.
C. An advertisement shall not use any
combination of words, symbols or physical materials that by their content,
phraseology, shape, color or other characteristics are so similar to a
combination of words, symbols or physical materials used by a governmental
program or agency or otherwise appear to be of such a nature that they tend to
mislead prospective insureds into believing that the solicitation is in some
manner connected with a governmental program or agency.
Section 10.
Enforcement
Procedures
A. Each insurer shall
maintain at its home or principal office a complete file containing a specimen
copy of every printed, published or prepared advertisement of its individual
policies and specimen copies of typical printed, published or prepared
advertisements of its blanket, franchise and group policies, hereafter
disseminated in this state, with a notation indicating the manner and extent of
distribution and the form number of any policy advertised. The file shall be
subject to inspection by the department. All advertisements shall be maintained
in the file for a period of five (5) years after discontinuance of its use or
publication.
B. If the commissioner
determines that an advertisement has the capacity or tendency to mislead or
deceive the public, the commissioner may require an insurer or insurance
producer to submit all or any part of the advertising material for review or
approval prior to use.
C. Each
insurer subject to the provisions of this regulation shall file with the
commissioner with its annual statement a certificate of compliance executed by
an authorized officer of the insurer stating that to the best of his or her
knowledge, information and belief the advertisements that were disseminated by
or on behalf of the insurer in this state during the preceding statement year,
or during the portion of the year when these rules were in effect, complied or
were made to comply in all respects with the provisions of these rules and the
insurance laws of this state as implemented and interpreted by this
regulation.