Section 1 Authority
This regulation is promulgated under the authority granted to
the Commissioner of The Department of Banking, Insurance, Securities and Health
Care Administration pursuant to
8 V.S.A.
§§
15,
4721,
4723
and
4724.
Section 2 Purpose
A. The purpose of this regulation is to set
forth standards to protect active duty service members of the United States
Armed Forces from dishonest and predatory insurance sales practices by
declaring certain identified practices to be false, misleading, unfair or
deceptive acts or practices.
B.
Nothing herein shall be construed to create or imply a private cause of action
for a violation of this regulation.
Section 3 Scope
This regulation shall apply only to the solicitation or sale
of any life insurance or annuity product by an insurer or insurance producer to
an active duty service member of the United States Armed
Forces.
Section 4 Exemptions
A. This regulation 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;
(c) A government or church plan defined 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;
(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.
B. 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.
C. For purposes of this regulation, general
advertisements, direct mail and internet marketing shall not constitute
"solicitation." Telephone marketing shall not constitute "solicitation"
provided the caller explicitly and conspicuously discloses that the product
concerned is life insurance and makes no statements that avoid a clear and
unequivocal statement that life insurance is the subject matter of the
solicitation. Provided however, nothing in this subsection shall be construed
to exempt an insurer or insurance producer from this regulation in any
in-person, face-to-face meeting established as a result of the "solicitation"
exemptions identified in this subsection.
Section 5 Definitions
A. "Active Duty" means 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 or in a drill status in the
National Guard or United States Armed Forces Reserves.
B. "Department of Defense (DoD) Personnel"
means 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" means a solicitation or sales method whereby an insurance producer
proceeds randomly or selectively from household to household without prior
specific appointment.
D. "General
Advertisement" means 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. "Insurer" means an insurance company
required to be licensed under the laws of this state to provide life insurance
products, including annuities.
F.
"Insurance producer" means a person required to be licensed under the laws of
this state to sell, solicit or negotiate life insurance, including
annuities.
G. "Known" or
"Knowingly" means, 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 is a service member.
H.
"Life Insurance" means 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.
I. "Military
Installation" means 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.
J. "MyPay" is 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.
K. "Service Member" means any active duty
officer (commissioned and warrant) or enlisted member of the United States
Armed Forces.
L. "Side Fund" means
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.
M. "Specific Appointment" means a prearranged
appointment agreed upon by both parties and definite as to place and
time.
N. "United States Armed
Forces" means all components of the Army, Navy, Air Force, Marine Corps, and
Coast Guard.
Section 6
Practices Declared False, Misleading, Deceptive or Unfair on a Military
Installation
A. The following acts or
practices when committed on a military installation by an insurer or insurance
producer with respect to the in-person, face-to-face solicitation of life
insurance are declared to be false, misleading, unfair or deceptive acts or
practices:
(1) Knowingly soliciting the
purchase of any life insurance product "door to door" or without first
establishing a specific appointment for each meeting with the prospective
purchaser.
(2) Soliciting service
members in a group or "mass" audience or in a "captive" audience where
attendance is not voluntary.
(3)
Knowingly making appointments with or soliciting service members during their
normally scheduled duty hours.
(4)
Making appointments with or soliciting service members in barracks, day rooms,
unit areas, or transient personnel housing or other areas where the
installation commander has prohibited solicitation.
(5) Soliciting the sale of life insurance
without first obtaining permission from the installation commander or the
commander's designee.
(6) Posting
unauthorized bulletins, notices or advertisements.
(7) Failing to present DD Form 2885, Personal
Commercial Solicitation Evaluation, to service members solicited or encouraging
service members solicited not to complete or submit a DD Form 2885.
(8) Knowingly accepting an application for
life insurance or issuing a policy of life insurance on the life of an enlisted
member of the United States Armed Forces without first obtaining for the
insurer's files a completed copy of any required form which confirms that the
applicant has received counseling or fulfilled any other similar requirement
for the sale of life insurance established by regulations, directives or rules
of the DoD or any branch of the Armed Forces.
B. The following acts or practices when
committed on a military installation by an insurer or insurance producer
constitute corrupt practices, improper influences or inducements and are
declared to be false, misleading, unfair or deceptive acts or practices:
(1) Using DoD personnel, directly or
indirectly, as a representative or agent in any official or business capacity
with or without compensation with respect to the solicitation or sale of life
insurance to service members.
(2)
Using an insurance producer to participate in any United States Armed Forces
sponsored education or orientation program.
Section 7 Practices Declared False,
Misleading, Deceptive or Unfair Regardless of Location
A. 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, unfair or deceptive
acts or practices:
(1) 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 foregoing includes,
but is 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.
(2) 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
section, 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.
(3) Employing any device or method or
entering into any agreement whereby 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 where the service member has no formal banking
relationship as defined in subsection 7(A)(2).
(4) Entering into any agreement with a
depository institution for the purpose of receiving funds from a service member
whereby the depository institution, with or without compensation, agrees to
accept direct deposits from a service member with whom it has no formal banking
relationship.
(5) 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.
(6) 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.
(7) Knowingly offering or giving anything of
value to a service member for his or her attendance to any event where an
application for life insurance is solicited.
(8) Advising a service member to change his
or her income tax withholding or State of legal residence for the sole purpose
of increasing disposable income to purchase life insurance.
B. 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,
unfair or deceptive acts or practices:
(1)
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 herein 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).
(2) 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.
C. The following acts or practices by an
insurer or insurance producer lead to confusion regarding premiums, costs or
investment returns and are declared to be false, misleading, unfair or
deceptive acts or practices:
(1) Using or
describing the credited interest rate on a life insurance policy in a manner
that implies that the credited interest rate is a net return on premium
paid.
(2) 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."
D. The following
acts or practices by an insurer or insurance producer regarding SGLI or VGLI
are declared to be false, misleading, unfair or deceptive acts or practices:
(1) Making any representation regarding the
availability, suitability, amount, cost, exclusions or limitations to coverage
provided to a service member or dependents by SGLI or VGLI, which is false,
misleading or deceptive.
(2) Making
any representation regarding conversion requirements, including the costs of
coverage, or exclusions or limitations to coverage of SGLI or VGLI to private
insurers which is false, misleading or deceptive.
(3) Suggesting, recommending or encouraging a
service member to cancel or terminate his or her SGLI policy or issuing a life
insurance policy which replaces an existing SGLI policy unless the replacement
shall take effect upon or after the service member's separation from the United
States Armed Forces.
E.
The following acts or practices by an insurer and or insurance producer
regarding disclosure are declared to be false, misleading, unfair or deceptive
acts or practices:
(1) 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.
(2) 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.
(3) Excluding
individually issued annuities, failing to clearly and conspicuously disclose
the fact that the product being sold is life insurance.
(4) 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 10 of the "Military Personnel Financial Services Protection
Act," Pub. L. No.
109-290, p.16.
(5) 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 and its expected first year cost. A basic
illustration that meets the requirements of Vermont Department of Banking,
Insurance, Securities and Health Care Administration Regulation 98-1 shall be
deemed sufficient to meet this requirement for a written disclosure.
F. 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, unfair or
deceptive acts or practices:
(1) Excluding
individually issued annuities, recommending the purchase of any life insurance
product which includes a side fund to a service member unless the insurer has
reasonable grounds for believing that the life insurance death benefit,
standing alone, is suitable.
(2)
Offering for sale or selling a life insurance product which includes a side
fund to a service member who is currently enrolled in SGLI, is presumed
unsuitable unless, after the completion of a needs assessment, the insurer
demonstrates that the applicant's SGLI 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 insurable needs for
life insurance.
(a) "Insurable 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
and/or 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.
(3) Excluding individually issued
annuities, offering for sale or selling any life insurance contract which
includes a side fund:
(a) unless interest
credited accrues from the date of deposit to the date 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 for every fifth policy year
thereafter ending at age 100, policy maturity or final expiration;
and
(c) which by default diverts or
transfers funds accumulated in the side fund to pay, reduce or offset any
premiums due.
(4)
Excluding individually issued annuities, offering for sale or selling any life
insurance contract which after considering all policy benefits, including but
not limited to endowment, return of premium or persistency, does not comply
with standard nonforfeiture law for life insurance.
(5) 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 except for an accidental death coverage, e.g., double indemnity, which
may be excluded.
Section
8 Severability
If any provision of these sections or the application thereof
to any person or circumstance is held to be invalid for any reason, the
invalidity shall not affect the other provisions or any other application of
these sections which can be given effect without the invalid provisions or
application. To this end all provisions of these sections are declared to be
severable.
Section 9
Effective Date
This regulation shall become effective on April 11,
2008.