Current through Register Vol. 48, No.
18, September 15, 2023
(1) Definitions. For
the purpose of this rule-
(A) "Advertisement"
means material designed to create public interest in life insurance or
annuities or in an insurer or to induce the public to purchase, increase,
modify, reinstate, or retain a policy including:
1. Printed and published material,
audio-visual material, and descriptive literature of an insurer 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;
2. 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, depictions, illustrations, and form letters;
3. 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, replace, or retain a policy;
4. Prepared sales talks, presentations, and
materials for use by insurance producers;
(B) "Advertisement" for the purpose of this
rule shall not include-
1. Communications or
materials used within an insurer's own organization and not intended for
dissemination to the public;
2.
Communications with policyholders other than material urging policyholders to
purchase, increase, modify, reinstate, borrow on, replace, or retain a policy;
and
3. A general announcement from
a group or blanket policyhold-er 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 or a
booklet explaining the proposed coverage;
(C) "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 deter-minable and guaranteed
elements;
(D) "Guaranteed 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;
(E) "Insurance
producer" means a person required to be licensed under the laws of this state
to sell, solicit, or negotiate insurance;
(F) "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;
(G)
"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 underlying nonguaranteed elements are used in its
calculation;
(H) "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;
(I) "Preneed funeral contract or
prearrangement" shall have the same meaning as set forth in section
436.405.1(8), RSMo.
(J)
"Registered product" means an annuity contract or life insurance policy subject
to the prospectus delivery requirements of the Securities Act of
1933.
(3) 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 as used in
this rule shall be determined by the director 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," "preneed contract," "preneed funeral contract," "prearrangement", 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 s/he will
receive, or that it is possible that s/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.
(4) Disclosure Requirements.
(A) The information required to be disclosed
by this rule 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) No
advertisement shall omit material information or use words, phrases,
statements, references, or illustrations if this omission or the 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 director 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 prominently
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 (4)(F) and
(4)(G) of this rule 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 premium
during the policy term, but which does not prominently describe this feature,
is 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 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's 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 a life insurance policy or an annuity
contract.
(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 loan 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 one thousand
dollars ($1,000) of the 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,"
"financial counseling," "seller," "preneed seller," or "preneed agent" 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. 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 the membership, providing that a person citing the
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 nonguaran-teed 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. Unless
otherwise specified in sections
375.1500
to
375.1527,
RSMo, 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. Unless
otherwise specified in sections
375.1500
to
375.1527,
RSMo, 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
elements.
4. An advertisement shall
not use or describe determinable elements in a manner that is misleading or has
the capacity or tendency to mislead.
5. Advertisement may describe determinable
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 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, Analysis, or
Endorsements by Third Parties.
1.
Testimonials, appraisals, or analysis 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. In using testimonials,
appraisals, or analysis; the insurer or insurance producer makes as its own all
of the statements contained therein, and these statements are subject to all
the provisions of this rule.
2. If
the individual making a testimonial, appraisal, analysis, or 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 the
endorsement or testimonial, that fact shall be disclosed in the
advertisement.
4. When a
testimonial, appraisal, analysis, or 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.
(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 such statistics used in an 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 education 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 these 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
three (3) 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 rule applies to all advertising media- is
i.e., mail, newspapers, radio, television, magazines, and periodicals-by any
one (1) insurer or insurance producer. The phrase "any one (1) insurer"
includes all the affiliated companies of a group of insurance companies under
common management or control. This rule 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 which otherwise would be eligible under
specific 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 rule 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 rate 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 also shall disclose
in close proximity thereto and with equal prominence, the actual relationship
between the gross and net premiums;
3. If any contract does not provide a cash
surrender benefit prior to commencement of payment of any annuity benefits, an
illustration or statement concerning the contract shall prominently state that
cash surrender benefits are not provided; and
4. Any illustrations, depictions, or
statements containing or based on determinable elements shall likewise set
forth with equal prominence comparable illustrations, depictions, or statements
containing or based on guaranteed elements.
(X) An advertisement of a life insurance
policy or annuity contract 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.
(Y) An advertisement for the solicitation or
sale of a preneed funeral contract or prearrangement as defined in subsection
(1)(H) that is funded or to be funded by a life insurance policy or annuity
contract shall adequately disclose the following:
1. The fact that a life insurance policy or
annuity contract is being used to fund a preneed funeral contract or a
prearrangement as defined in subsection (1)(H); and
2. The nature of the relationship among the
soliciting agent or agents, the provider of the funeral or cemetery merchandise
services, the administrator and any other person.
(Z) Failure to comply with the requirements
set forth in section (4) of this rule shall constitute false information and/or
misrepresentations and false advertising of insurance policies as those terms
are used in section
375.936(4) and
(6), RSMo.
(5) 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.
(D) Failure to comply
with the requirements set forth in section (5) of this rule shall constitute
false information and/or misrepresentations and false advertising of insurance
policies as those terms are used in section
375.936(4) and
(6), RSMo.
AUTHORITY: sections
374.045,
375.934
and
375.936,
RSMo 2000.* This rule was previously filed as 4 CSR 190-13.020. Original rule
filed Dec. 23, 1975, effective Jan. 2, 1976. Amended: Filed July 9, 1976,
effective Feb. 20, 1977. Amended: Filed July 12, 2002, effective Jan. 30, 2003.
Amended by
Missouri
Register February 15, 2017/Volume 42, Number 04, effective
3/31/2017
*Original authority: 374.045, RSMo 1967, amended 1993,
1995; 375.934, RSMo 1959, amended 1978, 1991; and 375.936, RSMo 1959, amended
1967, 1969, 1971, 1976, 1978, 1983,
1991.