S T A T E O F N E W Y O R K
________________________________________________________________________
5024
2011-2012 Regular Sessions
I N S E N A T E
May 2, 2011
___________
Introduced by Sen. SEWARD -- read twice and ordered printed, and when
printed to be committed to the Committee on Insurance
AN ACT to amend the insurance law, in relation to the replacement of
individual life insurance policies or individual annuity contracts of
any insurer
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The section heading and subsections (a), (b) and (c) of
section 2123 of the insurance law, subsections (a), (b) and (c) as
amended by chapter 540 of the laws of 1996, paragraph 3 of subsection
(a) as added by chapter 616 of the laws of 1997, the opening paragraph
of paragraph 3 of subsection (a) as amended by chapter 13 of the laws of
2002, are amended to read as follows:
Misrepresentations[,] AND misleading statements [and incomplete
comparisons].
(a) (1) No agent or representative of any insurer or health mainte-
nance organization authorized to transact life, accident or health
insurance or health maintenance organization business in this state and
no insurance broker, and no other person, firm, association or corpo-
ration, shall issue or circulate or cause or permit to be issued or
circulated, any illustration, circular, statement or memorandum misrep-
resenting the terms, benefits or advantages of any policy or contract of
life, accident or health insurance, any annuity contract or any health
maintenance organization contract, delivered or issued for delivery or
to be delivered or issued for delivery, in this state, or shall make any
misleading estimate as to the dividends or share of surplus or addi-
tional amounts to be received in the future on such policy or contract,
or shall make any false or misleading statement as to the dividends or
share of surplus or additional amounts previously paid by any such
insurer or health maintenance organization on similar policies or
contracts, or shall make any misleading representation, or any misrepre-
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11187-01-1
S. 5024 2
sentation, as to the financial condition of any such insurer or health
maintenance organization, or as to the legal reserve system upon which
such insurer or health maintenance organization operates.
(2) No such person, firm, association or corporation shall make to any
person or persons any incomplete [comparison] OR MISLEADING REPRESEN-
TATION of any such policies or contracts of any insurer, insurers, or
health maintenance organization, for the purpose of inducing, or tending
to induce, such person or persons to lapse, forfeit or surrender any
insurance policy or health maintenance organization contract.
(3) Any replacement of individual life insurance policies or individ-
ual annuity contracts of an insurer by an agent, representative of the
same or different insurer or broker shall conform to standards promul-
gated by regulation by the superintendent. Such regulation shall BE
CONSISTENT, TO THE GREATEST EXTENT PRACTICABLE AND IN THE PUBLIC INTER-
EST, WITH THE REPLACEMENTS REGULATION ADOPTED BY THE NATIONAL ASSOCI-
ATION OF INSURANCE COMMISSIONERS, AS AMENDED FROM TIME TO TIME, AND
SHALL ALSO:
(A) specify what constitutes the replacement of a life insurance poli-
cy or annuity contract and the proper disclosure and notification proce-
dures to replace a policy or contract;
(B) require notification of the proposed replacement to the insurer
whose policies or contracts are intended to be replaced; AND
(C) [require the timely exchange of illustrative and cost information
required by section three thousand two hundred nine of this chapter and
necessary for completion of a comparison of the proposed and replaced
coverage; and
(D)] provide for a sixty-day period following issuance of the replace-
ment policies or contracts during which the policy or contract owner may
return the policies or contracts and reinstate the replaced policies or
contracts.
(b) [Any comparison of the policies or contracts of any such insurer,
insurers or health maintenance organization shall be deemed to be an
incomplete comparison if it does not conform to all the requirements for
comparisons established by regulation.
(c)] In the determination, judicial or otherwise, of the incomplete-
ness or misleading character of any such [comparison] REPRESENTATION, it
shall not be presumed that the insured knew or knows of any of the
provisions, terms or benefits contained in any insurance policy or
health maintenance organization contract.
S 2. The section heading and subsections (a), (b) and (c) of section
4226 of the insurance law, paragraph 6 of subsection (a) as added by
chapter 616 of the laws of 1997, are amended to read as follows:
Misrepresentations[,] AND misleading statements [and incomplete
comparisons] by insurers. (a) No insurer authorized to do in this state
the business of life, or accident and health insurance, or to make annu-
ity contracts shall:
(1) issue or circulate, or cause or permit to be issued or circulated
on its behalf, any illustration, circular, statement or memorandum
misrepresenting the terms, benefits or advantages of any of its policies
or contracts;
(2) make any estimate of the dividends or share of surplus or addi-
tional amounts to be received on such policies or contracts;
(3) make any false or misleading statement of the dividends or share
of surplus or additional amounts paid by any such insurer on similar
policies or contracts;
S. 5024 3
(4) make any misleading representation, or any misrepresentation of
the financial condition of any such insurer or of the legal reserve
system upon which it operates; [or]
(5) make or deliver to any person or persons any incomplete [compar-
ison of] OR MISLEADING REPRESENTATION REGARDING any such policies or
contracts for the purpose of inducing, or tending to induce, such person
or persons to lapse, forfeit or surrender any insurance policy or
contract[.]; OR
(6) replace the individual life insurance policies or individual annu-
ity contracts of an insurer by the same or different insurer without
conforming to the standards promulgated by regulation by the superinten-
dent. Such regulation shall BE CONSISTENT, TO THE GREATEST EXTENT PRAC-
TICABLE AND IN THE PUBLIC INTEREST, WITH THE REPLACEMENTS REGULATION
ADOPTED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS, AS
AMENDED FROM TIME TO TIME, AND SHALL ALSO:
(A) specify what constitutes the replacement of a life insurance poli-
cy or annuity contract and the proper disclosure and notification proce-
dures to replace a policy or contract;
(B) require notification of the proposed replacement to the insurer
whose policies or contracts are intended to be replaced; AND
(C) [require the timely exchange of illustrative and cost information
required by section three thousand two hundred nine of this chapter and
necessary for completion of a comparison of the proposed and replaced
coverage; and
(D)] provide for a sixty-day period following issuance of the replace-
ment policies or contracts during which the policy or contract owner may
return the policies or contracts and reinstate the replaced policies or
contracts.
(b) [Any comparison of the policies or contracts of any such insurer
or insurers shall be deemed to be an incomplete comparison if it does
not conform to all the requirements for comparisons established by the
superintendent by regulation.
(c)] In any determination, judicial or otherwise, of the incomplete-
ness or misleading character of any such [comparison or of] represen-
tation, it shall not be presumed that the insured knew or knows of any
of the provisions or benefits contained in any insurance policy or
contract.
S 3. This act shall take effect on the one hundred eightieth day after
it shall have become a law.