Current through Register Vol. 63, No. 9, September 1, 2024
(1) The
following acts or practices by an insurer or insurance producer constitute
corrupt practices, improper influences or inducements and are declared to be
false, misleading, deceptive or unfair:
(a)
Submitting, processing or assisting in the submission or processing of any
allotment form or similar device used by the United States Armed Forces to
direct a service member's pay to a third party for the purchase of life
insurance. The acts or practices described in this subsection include, but are
not limited to, using or assisting in using a service member's "MyPay" account
or other similar Internet or electronic medium for such purposes. This
subsection does not prohibit assisting a service member by providing insurer or
premium information necessary to complete any allotment form.
(b) Knowingly receiving funds from a service
member for the payment of premium from a depository institution with which the
service member has no formal banking relationship. For purposes of this rule, a
formal banking relationship is established when the depository institution:
(A) Provides the service member a deposit
agreement and periodic statements and makes the disclosures required by the
Truth in Savings Act, 12 U.S.C. ¦ 4301 et seq. and the regulations
promulgated thereunder; and
(B)
Permits the service member to make deposits and withdrawals unrelated to the
payment or processing of insurance premiums.
(c) Employing any device or method or
entering into any agreement in which funds received from a service member by
allotment for the payment of insurance premiums are identified on the service
member's Leave and Earnings Statement or equivalent or successor form as
"Savings" or "Checking" and when the service member has no formal banking
relationship as defined in section (1)(b) of this rule.
(d) Entering into any agreement with a
depository institution for the purpose of receiving funds from a service member
in which the depository institution, with or without compensation, agrees to
accept direct deposits from a service member with whom it has not formal
banking relationship.
(e) Using DoD
personnel, directly or indirectly, as a representative or agent in any official
or unofficial capacity with or without compensation with respect to the
solicitation or sale of life insurance to service members who are junior in
rank or grade, or to the family members of such personnel.
(f) Offering or giving anything of value,
directly or indirectly, to DoD personnel to procure their assistance in
encouraging, assisting or facilitating the solicitation or sale of life
insurance to another service member.
(g) Knowingly offering or giving anything of
value to a service member with a pay grade of E-4 or below for the service
member's attendance to any event in which an application for life insurance is
solicited.
(h) Advising a service
member with a pay grade of E-4 or below to change the service member's income
tax withholding or State of legal residence for the sole purpose of increasing
disposable income to purchase life insurance.
(2) The following acts or practices by an
insurer or insurance producer lead to confusion regarding source, sponsorship,
approval or affiliation and are declared to be false, misleading, deceptive or
unfair:
(a) Making any representation, or
using any device, title, descriptive name or identifier that has the tendency
or capacity to confuse or mislead a service member into believing that the
insurer, insurance producer or product offered is affiliated, connected or
associated with, endorsed, sponsored, sanctioned or recommended by the U.S.
Government, the United States Armed Forces or any state or federal agency or
government entity. Examples of prohibited insurance producer titles include,
but are not limited to, "Battalion Insurance Counselor," "Unit Insurance
Advisor," "Servicemen's Group Life Insurance Conversion Consultant" or
"Veteran's Benefits Counselor." Nothing in this subsection shall be construed
to prohibit a person from using a professional designation awarded after the
successful completion of a course of instruction in the business of insurance
by an accredited institution of higher learning. Such designations include, but
are not limited to, Chartered Life Underwriter (CLU), Chartered Financial
Consultant (ChFC), Certified Financial Planner (CFP), Master of Science In
Financial Services (MSFS) or Masters of Science Financial Planning
(MS).
(b) Soliciting the purchase
of any life insurance product through the use of or in conjunction with any
third party organization that promotes the welfare of or assists members of the
United States Armed Forces in a manner that has the tendency or capacity to
confuse or mislead a service member into believing that either the insurer,
insurance producer, or insurance product is affiliated, connected or associated
with, endorsed, sponsored, sanctioned or recommended by the U.S. Government, or
the United States Armed Forces.
(3) The following acts or practices by an
insurer or insurance producer lead to confusion regarding premiums, cost or
investment returned and are declared to be false, misleading, deceptive or
unfair:
(a) Using or describing credited
interest rate on a life insurance policy in a manner that implies that the
credited interest rate is a net return on all premium paid.
(b) Excluding individually issued annuities,
misrepresenting the mortality costs of a life insurance product, including
stating or implying that the product "costs nothing" or is "free."
(4) The following acts or
practices by an insurer or insurance producer regarding SGLI, VGLI or SSLI are
declared to be false, misleading, deceptive or unfair:
(a) Making any representation regarding the
availability, suitability, amount, cost, exclusions or limitations to coverage
provided to a service member or dependents by SGLI, VGLI or SSLI, that is
false, misleading or deceptive.
(b)
Making any representation regarding conversion requirements, including the
costs of coverage, or exclusions or limitations to coverage of SGLI, VGLI or
SSLI to private insurers that is false, misleading, or deceptive.
(c) Suggesting, recommending or encouraging a
service member to cancel or terminate the service member's SGLI or SSLI policy
or issuing a life insurance policy that replaces an existing SGLI or SSLI
policy unless the replacement takes effect upon or after the service member's
separation from the United States Armed Forces.
(5) The following acts or practices by an
insurer or insurance producer regarding disclosure are declared to be false,
misleading, deceptive or unfair:
(a)
Deploying, using or contracting for any lead generating materials designed
exclusively for use with service members that do not clearly and conspicuously
disclose that the recipient will be contacted by an insurance producer, if that
is the case, for the purpose of soliciting the purchase of life
insurance.
(b) Failing to disclose
that a solicitation for the sale of life insurance will be made when
establishing a specific appointment for an in-person, face-to-face meeting with
a prospective purchaser.
(c)
Excluding individually issued annuities, failing to clearly and conspicuously
disclose the fact that the product being sold is life insurance.
(d) Failing to make, at the time of sale or
offer to an individual known to be a service member, the written disclosures
required by Section of the "Military Personnel Financial Services Protection
Act," Pub. L. No.
109-209, p.16.
(e) Excluding individually issued annuities,
when the sale is conducted in-person, face-to-face with an individual known to
be a service member, failing to provide the applicant at the time the
application is taken:
(A) An explanation of
any free look period with instructions on how to cancel if a policy is issued;
and
(B) Either a copy of the
application or a written disclosure. The copy of the application or the written
disclosure shall clearly and concisely set out the type of life insurance, the
death benefit applied for an its expected first year cost. A basic illustration
that meets the requirements of OAR
836-051-0500 to
836-051-0600 or the NAIC Life
Insurance Buyer's Guide shall be deemed sufficient to meet this requirement for
a written disclosure.
(6) The following acts or practices by an
insurer or insurance producer with respect to the sale of certain life
insurance products are declared to be false, misleading, deceptive or unfair:
(a) Excluding individually issued annuities,
recommending the purchase of any life insurance product that includes a side
fund to a service member in pay grades E-4 and below unless the insurer has
reasonable grounds for believing that the life insurance death benefit,
standing along, is suitable.
(b)
Offering for sale or selling a life insurance product that includes a side fund
to a service member in pay grades E-4 and below who is currently enrolled in
SGLI or SSLI, is presumed unsuitable unless, after the completion of a needs
assessment, the insurer demonstrates that the applicant's SGLI or SSLI death
benefit, together with any other military survivor benefits, savings and
investments, survivor income, and other life insurance are insufficient to meet
the applicant's insurance needs for life insurance. For the purpose of this
subsection:
(A) "Insurance needs" are the
risks associated with premature death taking into consideration the financial
obligations and immediate and future cash needs of the applicant's estate or
survivors or dependents, or both the estate and the survivors or
dependents.
(B) "Other military
survivor benefits" include, but are 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.
(c) Excluding individually issued annuities,
offering for sale or selling any life insurance contract that includes a side
fund:
(A) Unless interest credited accrues
from the date of deposit to the death of withdrawal and permits withdrawals
without limit or penalty;
(B)
Unless the applicant has been provided with a schedule of effective rates of
return based upon cash flows of the combined product. For this disclosure, the
effective rate of return will consider all premiums and cash contributions made
by the policyholder and all cash accumulations and cash surrender values
available to the policyholder in addition to life insurance coverage. This
schedule will be provided for at least each policy year from one (1) to ten
(10) and every fifth policy year thereafter ending at age 100, policy maturity,
or final expiration; and
(C) That
by default diverts or transfers funds accumulated in the side fund to pay,
reduce, or offset any premiums due.
(d) Excluding individually issued annuities,
offering for sale or selling any life insurance contract that after considering
all policy benefits, including but not limited to endowment, return of premium
or persistency, does not comply with the standard nonforfeiture law for life
insurance.
(e) Selling any life
insurance product to an individual known to be a service member that excludes
coverage if the insured's death is related to war, declared or undeclared, or
any act related to military service save and except for an accidental death
coverage, e.g., double indemnity, which may be excluded.
Stat. Auth.: ORS
731.244
Stats. Implemented: ORS
746.075,
746.110,
746.240