Current through Register
Vol. 48, No. 18, September 15, 2023
(1) Applicability of Rules. The rules in
20
CSR 400-5.305 to
20 CSR
400-5.310 are based upon the Military Sales Practices
Model Regulation adopted by the National Association of Insurance Commissioners
(NAIC), published July 2007, fulfilling the intent of the Military Personnel
Financial Services Act,
Pub.
L. No. 109-290,
section
3 (1)(C) (2006).
(A) The rules in
20
CSR 400-5.305 to
20 CSR
400-5.310 apply to insurers soliciting, offering to
sell or selling any life or annuity product, except those described in
subsection (1)(B), to a member of the United States Armed Forces, wherever
located. The rules shall be read together with Chapter 536, RSMo.
(B) The rules in
20
CSR 400-5.305 to
20 CSR
400-5.310 shall not apply to solicitations or sales
involving:
1. Credit insurance;
2. 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;
3. 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;
4. Individual stand-alone health policies,
including disability income policies;
5. 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.;
6. 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
7.
Contracts used to fund:
A. An employee
pension or welfare benefit plan that is covered by the Employee Retirement and
Income Security Act (ERISA);
B. 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 and there is no
in-per-son, face-to-face solicitation of individuals by an insurance
producer;
C. A government or church
plandefined 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, if there is no in-per-son,
face-to-face solicitation of individuals by an insurance producer;
D. A nonqualified deferred compensation
arrangement established or maintained by an employer or plan sponsor;
E. Settlements of or assumptions of
liabilities associated with personal injury litigation or any dispute or claim
resolution process; or
F.
Prearranged funeral contracts.
(C) The rules in
20
CSR 400-5.305 to
20 CSR
400-5.310 shall not apply to:
1. General advertisements, direct mail and
Internet marketing; and
2.
Telephone marketing, provided the caller explicitly and conspicuously discloses
that the call concerns life insurance and makes no statement that avoids the
clear and unequivocal statement that life insurance is the subject matter of
the solicitation.
3. Nothing in
this subsection shall be construed to exclude an insurer or insurance producer
from
20
CSR 400-5.305 to
20 CSR
400-5.310 in any in-person, face-to-face meeting
established as a result of the marketing that is exempt under this
paragraph.
(D) Nothing
herein shall be construed to abrogate the ability of nonprofit organizations
(and/or other 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.
(2)
Definitions. As used in rules
20
CSR 400-5.305 to
20 CSR
400-5.310 the following terms shall mean:
(A) "Active duty," 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
thirty-one (31) calendar days;
(B)
"Department of Defense (DoD) Personnel," all active duty service members and
all civilian employees, including nonappropriated fund employees and special
government employees, of the Department of Defense;
(C) "Door to door," a solicitation or sales
method whereby an insurance producer proceeds randomly or selectively from
household to household without prior specific appointment;
(D) "General advertisement," 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;
(E) "Insurable needs,"
the risks associated with premature death taking into consideration the
financial obligations and immediate and future cash needs of the applicant's
estate and/or survivors or dependents;
(F) "Insurer," an insurance company required
to be licensed under the laws of this state to provide life insurance products,
including annuities;
(G) "Insurance
producer," a person required to be licensed under the laws of this state to
sell, solicit or negotiate life insurance, including annuities;
(H) "Known" or "Knowingly," 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:
1.
Is a service member; or
2. Is a
service member with a pay grade of E-4 or below;
(I) "Life insurance," insurance coverage on
human lives including benefits of endowment and annuities, and may include
benefits in the event of death or dismemberment by accident and benefits for
disability income and unless otherwise specifically excluded, includes
individually issued annuities;
(J)
"Military installation," 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;
(K) "MyPay," 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;
(L) "Other military survivor benefits,"
includes the following, but is 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;
(M) "Service member," any active duty officer
(commissioned and warrant) or enlisted member of the United States Armed
Forces;
(N) "SGLI," Servicemembers'
Group Life Insurance;
(O) "Side
fund," 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:
1. Accumulated value or cash value or
secondary guarantees provided by a universal life policy;
2. Cash values provided by a whole life
policy which are subject to standard nonforfeiture law for life insurance;
or
3. A premium deposit fund which:
A. Contains only premiums paid in advance
which accumulate at interest;
B.
Imposes no penalty for withdrawal;
C. Does not permit funding beyond future
required premiums;
D. Is not
marketed or intended as an investment; and
E. Does not carry a commission, either paid
or calculated;
(P) "Specific appointment," a prearranged
appointment agreed upon by both parties and definite as to place and
time;
(Q) "United States Armed
Forces," all components of the Army, Navy, Air Force, Marine Corps, and Coast
Guard; and
(R) "VGLI," Veterans'
Group Life Insurance.
AUTHORITY: sections
374.045,
375.934,
and
375.936,
RSMo 2000 and section
375.144,
RSMo Supp. 2007.* Original rule filed Nov. 9, 2007, effective June 30, 2008.
*Original authority: 374.045, RSMo 1967, amended 1993,
1995; 375.934, RSMo 1959, amended 1978, 1991; 375.936, RSMo 1959, amended 1967,
1969, 1971, 1976, 1978, 1983, 1991; and 375.144, RSMo
2005.