Current through Supplement No. 394, October, 2024
1.
Format. A basic illustration must conform with the following
requirements:
a. The illustration must be
labeled with the date on which it was prepared.
b. Each page, including any explanatory notes
or pages, must be numbered and show its relationship to the total number of
pages in the illustration (e.g., the fourth page of a seven-page illustration
shall be labeled "page 4 of 7 pages").
c. The assumed dates of payment receipt and
benefit payout within a policy year must be clearly identified.
d. If the age of the proposed insured is
shown as a component of the tabular detail, it must be issue age plus the
numbers of years the policy is assumed to have been in force.
e. The assumed payments on which the
illustrated benefits and values are based must be identified as premium outlay
or contract premium, as applicable. For policies that do not require a specific
contract premium, the illustrated payments must be identified as premium
outlay.
f. Guaranteed death
benefits and values available upon surrender, if any, for the illustrated
premium outlay or contract premium must be shown and clearly labeled
guaranteed.
g. If the illustration
shows any nonguaranteed elements, they may not be based on a scale more
favorable to the policy owner than the insurer's illustrated scale at any
duration. These elements must be clearly labeled nonguaranteed.
h. The guaranteed elements, if any, must be
shown before corresponding nonguaranteed elements and must be specifically
referred to on any page of an illustration that shows or describes only the
nonguaranteed elements (e.g., "see page one for guaranteed elements").
i. The account or accumulation
value of a policy, if shown, must be identified by the name this value is given
in the policy being illustrated and shown in close proximity to the
corresponding value available upon surrender.
j. The value available upon surrender must be
identified by the name this value is given in the policy being illustrated and
must be the amount available to the policy owner in a lump sum after deduction
of surrender charges, policy loans, and policy loan interest, as applicable.
k. Illustrations may show policy
benefits and values in graphic or chart form in addition to the tabular form.
l. Any illustration of
nonguaranteed elements must be accompanied by a statement indicating that:
(1) The benefits and values are not
guaranteed;
(2) The assumptions on
which they are based are subject to change by the insurer; and
(3) Actual results may be more or less
favorable.
m. If the
illustration shows that the premium payer may have the option to allow policy
charges to be paid using nonguaranteed values, the illustration must clearly
disclose that a charge continues to be required and that, depending on actual
results, the premium payer may need to continue or resume premium outlays.
Similar disclosure must be made for premium outlay of lesser amounts or shorter
durations than the contract premium. If a contract premium is due, the premium
outlay display may not be left blank or show zero unless accompanied by an
asterisk or similar mark to draw attention to the fact that the policy is not
paid up.
n. If the applicant plans
to use dividends or policy values, guaranteed or nonguaranteed, to pay all or a
portion of the contract premium or policy charges, or for any other purpose,
the illustration may reflect those plans and the impact on future policy
benefits and values.
2.
Narrative summary. A basic illustration must include the
following:
a. A brief description of the
policy being illustrated, including a statement that it is a life insurance
policy;
b. A brief description of
the premium outlay or contract premium, as applicable, for the policy. For a
policy that does not require payment of a specific contract premium, the
illustration must show the premium outlay that must be paid to guarantee
coverage for the term of the contract, subject to maximum premiums allowable to
qualify as a life insurance policy under the applicable provisions of the
Internal Revenue Code;
c. A brief
description of any policy features, riders, or options, guaranteed or
nonguaranteed, shown in the basic illustration and the impact they may have on
the benefits and values of the policy;
d. Identification and a brief definition of
column headings and key terms used in the illustration; and
e. A statement containing in substance the
following: "This illustration assumes that the currently illustrated
nonguaranteed elements will continue unchanged for all years shown. This is not
likely to occur, and actual results may be more or less favorable than those
shown."
3.
Numeric summary.
a. Following
the narrative summary, a basic illustration must include a numeric summary of
the death benefits and values and the premium outlay and contract premium, as
applicable. For a policy that provides for a contract premium, the guaranteed
death benefits and values must be based on the contract premium. This summary
must be shown for at least policy years five, ten, and twenty and at age
seventy, if applicable, on the three bases shown below. For multiple life
policies the summary shall show for at least policy years five, ten, twenty,
and thirty.
(1) Policy guarantees;
(2) Insurer's illustrated scale;
(3) Insurer's illustrated scale used but with
the nonguaranteed elements reduced as follows:
(a) Dividends at fifty percent of the
dividends contained in the illustrated scale used;
(b) Nonguaranteed credited interest at rates
that are the average of the guaranteed rates and the rates contained in the
illustrated scale used; and
(c)
All nonguaranteed charges, including term insurance charges, mortality and
expense charges, at rates that are the average of the guaranteed rates and the
rates contained in the illustrated scale used.
b. In addition, if coverage would cease prior
to policy maturity or age one hundred, the year in which coverage ceases must
be identified for each of the three bases.
4.
Statements. Statements
substantially similar to the following must be included on the same page as the
numeric summary and signed by the applicant, or the policy owner in the case of
an illustration provided at time of delivery, as required in this chapter.
a. A statement to be signed and dated by the
applicant or policy owner reading as follows: "I have received a copy of this
illustration and understand that any nonguaranteed elements illustrated are
subject to change and could be either higher or lower. The agent has told me
they are not guaranteed."
b. A
statement to be signed and dated by the insurance producer or other authorized
representative of the insurer reading as follows: "I certify that this
illustration has been presented to the applicant
and that I have explained that any nonguaranteed elements
illustrated are subject to change. I have made no statements that are
inconsistent with the illustration."
5.
Tabular detail.
a. A basic illustration must include the
following for at least each policy year from one to ten and for every fifth
policy year thereafter ending at age one hundred, policy maturity, or final
expiration; and except for term insurance beyond the twentieth year, for any
year in which the premium outlay and contract premium, if applicable, is to
change:
(1) The premium outlay and mode the
applicant plans to pay and the contract premium, as applicable;
(2) The corresponding guaranteed death
benefit, as provided in the policy; and
(3) The corresponding guaranteed value
available upon surrender, as provided in the policy.
b. For a policy that provides for a contract
premium, the guaranteed death benefit and value available upon surrender must
correspond to the contract premium.
c. Nonguaranteed elements may be shown if
described in the contract. In the case of an illustration for a policy on which
the insurer intends to credit terminal dividends, they may be shown if the
insurer's current practice is to pay terminal dividends. If any nonguaranteed
elements are shown they must be shown at the same durations as the
corresponding guaranteed elements, if any. If no guaranteed benefit or value is
available at any duration for which a nonguaranteed benefit or value is shown,
a zero must be displayed in the guaranteed column.