S T A T E O F N E W Y O R K
________________________________________________________________________
2077
2017-2018 Regular Sessions
I N S E N A T E
January 12, 2017
___________
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 direct response
marketing of life insurance
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 3209 of the insurance law, as amended by chapter
616 of the laws of 1997, subsection (b) as amended by chapter 170 of the
laws of 2008, subparagraph (H) as amended, subparagraph (I) as added and
subparagraph (J) of paragraph 2 of subsection (b) as relettered by chap-
ter 535 of the laws of 2013, paragraph 1 of subsection (d), paragraph 2
of subsection (e) and subsection (h) as amended by chapter 13 of the
laws of 2002, is amended to read as follows:
§ 3209. Life insurance, annuities and funding agreements disclosure
requirements. (a) Except as hereafter exempted, this section shall apply
to any solicitation, negotiation or procurement of life insurance, annu-
ities or funding agreements occurring within this state. This section
shall apply to any issuer of life insurance or annuity contracts or
funding agreements, including fraternal benefit societies and the life
insurance department of a savings and insurance bank. Unless otherwise
specifically included, this section shall not apply to: credit life
insurance; group life insurance; life insurance policies, annuity
contracts, and funding agreements issued in connection with pension and
welfare plans as defined by and to the extent covered by the federal
Employee Retirement Income Security Act of 1974 (ERISA); funding agree-
ments issued to other than individuals pursuant to subsection (b) of
section three thousand two hundred twenty-two of this article; and any
group annuity unless at least one certificate is subject to paragraph
two of subsection (b) of section four thousand two hundred twenty-three
of this chapter.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD06870-02-7
S. 2077 2
(b) (1) No policy of life insurance shall be delivered or issued for
delivery in this state [after the applicable effective date, as set
forth in subsection (n) of this section,] unless, AT OR PRIOR TO DELIV-
ERY OF THE POLICY, the prospective purchaser has been provided with the
following:
(A) a copy of the most recent buyer's guide; and [the preliminary
information required by subsection (d) of this section, at or prior to
the time an application is taken. When sales solicitations are made by
mail, without the involvement of an agent or broker, each initial solic-
itation must include a copy of the buyer's guide unless the policy for
which application is made provides for a period of at least thirty days
within which the applicant may return the policy for an unconditional
refund of the premiums paid, in which event the buyer's guide must be
delivered with the policy or prior to delivery of the policy; in addi-
tion, such solicitation must alert the prospective purchaser of the
right to receive, upon request, a buyer's guide and a policy summary
prior to delivery of the policy; and]
(B) a policy summary [upon delivery of the policy], PROVIDED THAT THE
POLICYHOLDER MAY RETURN THE POLICY FOR AN UNCONDITIONAL REFUND OF THE
PREMIUMS PAID WITHIN THE PERIOD OF TIME PROVIDED UNDER PARAGRAPH ELEVEN
OF SUBSECTION (A) OF SECTION THREE THOUSAND TWO HUNDRED THREE OF THIS
ARTICLE AND PARAGRAPH THIRTEEN OF SUBSECTION (A) OF SECTION FOUR THOU-
SAND TWO HUNDRED FORTY OF THIS CHAPTER.
(2) No annuity contract or life insurance policy or certificate with
an equity index account shall be delivered or issued for delivery in
this state unless, [no later than at the time of application] AT OR
PRIOR TO DELIVERY OF THE CONTRACT, the prospective purchaser has been
provided with a disclosure statement containing the following:
(A) a statement in bold type to the effect that the equity index
account provides benefits linked to an external equity index and does
not participate directly in the equity market;
(B) a statement identifying the equity index used in the equity index
formula, together with a description of any alternate index should the
initial index no longer be publicly available;
(C) a statement indicating whether paid dividends are included in
changes in the equity index, together with a description of how such
dividends, or lack thereof, would affect the changes in the equity
index; the statement must provide the average dividend rate over the
lesser of ten years or the calculable life of the index;
(D) a statement fully describing the equity index formula;
(E) a statement explaining and illustrating the equity index formula
including any features of the equity index formula subject to change
after issuance of the contract, policy or certificate;
(F) a statement identifying the initial minimum guaranteed interest
rate for the minimum accumulation value of an equity index account and
any withdrawal charge;
(G) a statement identifying the initial current and the minimum speci-
fied participation rate, i.e., how much of the increase in the index
will be used to calculate the indexed linked interest rate, if any;
(H) a statement identifying the initial current and the minimum upper
limit or cap on the indexed linked interest rate, if any;
(I) for a life insurance policy crediting additional amounts in
accordance with an equity index less frequently than annually, a state-
ment to the effect that: if the policyholder requests a full surrender
of a policy prior to the expiration of the equity index crediting peri-
od, no additional interest based on the equity index will be credited
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and that only the guaranteed interest will be credited to the account;
and the policyholder is advised to consider alternatives to a full
surrender of the policy prior to the expiration of the equity index
crediting period, such as a policy loan or, if available, a partial
withdrawal of the policy; and
(J) other disclosure information the superintendent deems appropriate.
(c) Every insurer must provide, to any policyholder who so requests, a
policy summary for each in-force premium-paying policy for which no
policy summary has ever been furnished. The insurer may charge the poli-
cyholder a reasonable fee for preparation of this summary, subject to
guidelines specified in rules promulgated by the superintendent.
(d) [The preliminary information shall be in writing and include, to
the extent applicable, the following:
(1) the name and address of the insurance agent or broker or, if no
agent or broker is involved, a statement of the procedure to be followed
in order to receive responses to inquiries concerning the preliminary
information;
(2) the full name and home office, administrative office or branch or
agency office address of the company in whose name the life insurance
policy is to be written;
(3) the date of the preliminary information and the generic name, the
initial amount of insurance and the initial annual premium for the basic
policy;
(4) the total guaranteed cash surrender values for the basic policy,
at the end of the tenth and twentieth policy years or at the end of the
premium-paying period if earlier. These values may be shown on a per
thousand or per unit basis;
(5) the effective policy loan annual percentage interest rate, if the
policy would contain this provision, and whether this rate is applied in
advance or in arrears, adjustable or fixed;
(6) for the life insurance policies described in paragraph one of
subsection (n) of this section, life insurance cost indexes and the
equivalent level annual dividend for the basic policy for ten and twenty
years, but in no case beyond the premium-paying period;
(7) in addition, the applicant shall be advised that, when the policy
is issued, a complete policy summary, including cost data, based on the
benefits, premiums and dividends of the policy as issued, will be
furnished; and that, following the receipt of the policy and policy
summary, there will be a period of not less than ten days within which
the applicant may return the policy for an unconditional refund of the
premiums paid; and
(8) notwithstanding the foregoing, no applicant for life insurance
shall be prevented or delayed in effecting or applying for coverage by
the requirements of this section. In such cases where prior to applica-
tion it is impractical to provide any items prescribed by this section,
such items may be estimated in good faith or furnished as soon thereaft-
er as practical prior to delivery of policy.
(e)] A policy summary shall include the following:
(1) a prominently placed title as follows:
"STATEMENT OF POLICY COST AND BENEFIT INFORMATION";
(2) the name and address of the insurance agent or broker, or, if no
agent or broker is involved, a statement of the procedure to be followed
in order to receive responses to inquiries regarding the policy summary;
(3) the full name and home office, administrative office or branch or
agency office address of the company in whose name the life insurance
policy is to be or has been written;
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(4) the generic name of the basic policy and each rider;
(5) [for the life insurance policies described in paragraph one of
subsection (n) of this section,] the following amounts, where applica-
ble, for the first five policy years and representative policy years
thereafter sufficient to clearly illustrate the premium and benefit
patterns, including the years for which life insurance cost indexes are
displayed and at least one age from sixty through sixty-five or maturi-
ty, whichever is earlier:
(A) the annual premium for the basic policy;
(B) the annual premium for each optional rider;
(C) guaranteed amount payable upon death at the beginning of the poli-
cy year regardless of the cause of death, other than suicide or other
specifically enumerated exclusions, which is provided by the basic poli-
cy and each optional rider, with benefits provided under the basic poli-
cy and each rider shown separately;
(D) total guaranteed cash surrender values at the end of the year with
values shown separately for the basic policy and each rider;
(E) cash dividends payable at the end of the year with values shown
separately for the basic policy and each rider. Dividends need not be
displayed beyond the twentieth policy year; and
(F) guaranteed endowment amounts payable under the policy which are
not included in guaranteed cash surrender values above;
(6) the effective policy loan annual percentage interest rate if the
policy contains this provision, specifying whether this rate is applied
in advance or in arrears. If the policy provides for an adjustable loan
interest rate, the policy summary shall so state, shall set forth the
frequency at which the rate is to be determined for that policy, and
shall describe the index upon which the maximum rate is based at the
time the policy is issued;
(7) [for the life insurance policies described in paragraph one of
subsection (n) of this section:] (A) life insurance cost indexes for ten
and twenty years but in no case beyond the premium-paying period. Sepa-
rate indexes are to be displayed for the basic policy and for each
optional term life insurance rider. Such indexes need not be included
for optional riders which are limited to benefits such as accidental
death benefits, disability waiver of premium, preliminary term life
insurance coverage of less than twelve months and guaranteed insurabili-
ty benefits, nor for basic policies or optional riders covering more
than one life;
(B) the equivalent level annual dividend, in the case of participating
policies and participating optional term life insurance riders, under
the same circumstances and for the same durations at which life insur-
ance cost indexes are displayed;
(8) a policy summary which includes dividends shall also include a
statement that dividends are based on the company's current dividend
scale and are not guaranteed; in addition, the summary shall[, for the
life insurance policies described in paragraph one of subsection (n) of
this section,] include a statement in close proximity to the equivalent
level annual dividend as follows: "An explanation of the intended use of
the equivalent level annual dividend is included in the buyer's guide";
(9) a statement in close proximity to the life insurance cost indexes
as follows:
"AN EXPLANATION OF THE INTENDED USE OF THESE INDEXES IS PROVIDED IN
THE BUYER'S GUIDE"; and
(10) the date on which the policy summary is prepared.
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[(f)] (E) The policy summary must be a separate document. All informa-
tion required to be disclosed must be set out in such a manner as not to
minimize or render any portion thereof obscure. Any amounts which remain
level for two or more years of the policy may be represented by a single
number if it is clearly indicated what amounts are applicable for each
policy year. Amounts in paragraph five of subsection [(e)] (D) of this
section shall be listed in total, not on a per thousand or per unit
basis. If more than one insured is covered under one policy or rider,
guaranteed death benefits shall be displayed separately for each insured
or for each class of insureds if death benefits do not differ within the
class. Zero amounts shall be displayed as zero and shall not be
displayed as a blank space.
[(g)] (F) Every insurer shall maintain, at its home office or princi-
pal office, a complete file containing one copy of each policy summary
form authorized by the insurer for use pursuant to this section.
[(h)] (G) An agent or broker shall inform a prospective purchaser,
prior to commencing a life insurance sales presentation, that he is
acting as a life insurance agent or broker, and inform the prospective
purchaser of the full name of the insurer which he is representing. In
sale situations in which an agent or broker is not involved, the insurer
shall identify its full name.
[(i)] (H) As used in this section, "buyer's guide" means a separate
document published and disseminated by insurers. The language therein
shall be promulgated by the superintendent, and shall, to the extent
practicable and in the public interest as determined by the superinten-
dent, be consistent with the latest version of a buyer's guide as
adopted by the national association of insurance commissioners.
[(j)] (I) For life insurance policies, except term life insurance
policies, which are to be issued to qualify for special tax treatment
under subsection (b) of section four hundred three of the Internal
Revenue Code of 1986, as amended, a written notice shall be delivered to
the proposed insured in a manner satisfactory to the superintendent at
or prior to the time an application is taken and shall read as follows:
"The purchase of a life insurance policy with cash value, which quali-
fies for special tax treatment under section 403(b) of the Internal
Revenue Code of 1986, as amended, may not be appropriate for individuals
seeking to maximize the accumulation of funds for retirement or for
individuals seeking life insurance coverage primarily to provide a
survivorship benefit for the spouse in the event of death prior to
retirement. If an individual needs coverage to continue after retire-
ment, current tax laws require the commencement of taxable distributions
under the tax sheltered annuity plan (TSA) no later than age seventy and
one-half which may necessitate some adjustment in the cash value life
insurance policy or may result in increased insurance costs in future
policy years. You should consult with your tax advisor before purchasing
life insurance with cash value as part of a tax sheltered annuity
(TSA)."
[(k)] (J) The superintendent shall promulgate by regulation the
contents [and], allowable format [of the preliminary information] and
[the] information to appear in the policy summary. The superintendent
shall also promulgate by regulation standards governing the content,
format and use of illustrations of individual life insurance policies
and certain group life insurance policies and certificates, life insur-
ance policies subject to section four thousand two hundred thirty-two of
this chapter, variable life insurance policies under which the death
benefits and cash values vary in accordance with the unit values of
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investments held in a separate account and individual annuities, indi-
vidual funding agreements, variable annuities, and group annuity
contracts if any certificate is issued to which paragraph two of
subsection (b) of section four thousand two hundred twenty-three of this
chapter applies. The illustration regulation shall be consistent, to the
greatest extent practicable and in the public interest as determined by
the superintendent, with the illustration regulations as adopted by the
national association of insurance commissioners. The superintendent in
developing regulations to govern the content and format of the [prelimi-
nary information,] policy summary and illustrations shall ensure that
such forms are presented in an easy, concise and meaningful way to
enable consumers to understand the operation of the policy or contract.
[(l)] (K) An insurer of any life insurance policy or annuity contract
subject to this section shall notify the superintendent whether its
policies or contract forms have been or will be marketed with or without
an illustration. For those policies and contracts marketed with an
illustration which complies with the regulations promulgated pursuant to
subsection [(k)] (J) of this section, no [preliminary information or]
policy summary shall be required. For those policies which are not
marketed with an illustration, the [preliminary information and] policy
summary shall be provided pursuant to the provisions of this section.
[(m)] (L) The superintendent, by regulation, shall determine the
applicability of the illustration regulation promulgated pursuant to
subsection [(k)] (J) of this section to group life insurance policies
and group annuities and funding agreements. Such determination shall be
consistent, to the greatest extent practicable and in the public inter-
est, with the illustration regulations as adopted by the national asso-
ciation of insurance commissioners.
[(n) The effective dates of this section as applied to policies of
life insurance, annuity contracts, and funding agreements shall be as
follows:
(1) for individual life insurance policies, certain group life insur-
ance policies and certificates and life insurance policies subject to
section four thousand two hundred thirty-two of this chapter, January
first, nineteen hundred ninety-eight;
(2) for annuities and funding agreements, the date of promulgation of
regulations by the superintendent pursuant to subsection (k) of this
section but not later than June thirty, nineteen hundred ninety-eight;
(3) for variable life insurance policies and variable annuities, the
date of promulgation of regulations by the superintendent but not later
than January first, nineteen hundred ninety-nine.
No less than three months prior to promulgating the regulations
required to implement subsection (k) of this section pursuant to para-
graphs two and three of this subsection, the superintendent shall hold
public hearings on such regulations.]
§ 2. Paragraph 3 of subsection (a) of section 2123 of the insurance
law, as amended by section 37-a of part D of chapter 56 of the laws of
2013, is amended and a new paragraph 4 is added to read as follows:
(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:
(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;
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(B) require notification of the proposed replacement to the insurer
whose policies or contracts are intended to be replaced;
(C) IN THE CASE OF AN APPLICATION THAT IS INITIATED AS A RESULT OF A
DIRECT RESPONSE SOLICITATION, INCLUDE PROVISIONS RELATING TO THE DUTIES
OF INSURERS WITH RESPECT TO DIRECT RESPONSE SOLICITATIONS THAT ARE
CONSISTENT WITH THE LIFE INSURANCE AND ANNUITIES REPLACEMENT REGULATION
AS ADOPTED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS;
(D) 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)] (E) provide for a sixty-day period following issuance of the
replacement policies or contracts during which the policy or contract
owner may return the policies or contracts and reinstate the replaced
policies or contracts.
(4) FOR PURPOSES OF PARAGRAPH THREE OF THIS SUBSECTION, "DIRECT
RESPONSE SOLICITATION" MEANS A SOLICITATION THROUGH A SPONSORING OR
ENDORSING ENTITY OR INDIVIDUAL SOLELY THROUGH THE MAIL, TELEPHONE, THE
INTERNET OR OTHER MASS COMMUNICATION MEDIA.
§ 3. Paragraph 6 of subsection (a) of section 4226 of the insurance
law, as added by chapter 616 of the laws of 1997 is amended and a new
subsection (e) is added to read as follows:
(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:
(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;
(C) IN THE CASE OF AN APPLICATION THAT IS INITIATED AS A RESULT OF A
DIRECT RESPONSE SOLICITATION, INCLUDE PROVISIONS RELATING TO THE DUTIES
OF INSURERS WITH RESPECT TO DIRECT RESPONSE SOLICITATIONS THAT ARE
CONSISTENT WITH THE LIFE INSURANCE AND ANNUITIES REPLACEMENT REGULATION
AS ADOPTED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS;
(D) 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)] (E) provide for a sixty-day period following issuance of the
replacement policies or contracts during which the policy or contract
owner may return the policies or contracts and reinstate the replaced
policies or contracts.
(E) FOR PURPOSES OF PARAGRAPH SIX OF SUBSECTION (A) OF THIS SECTION,
"DIRECT RESPONSE SOLICITATION" MEANS A SOLICITATION THROUGH A SPONSORING
OR ENDORSING ENTITY OR INDIVIDUAL SOLELY THROUGH THE MAIL, TELEPHONE,
THE INTERNET OR OTHER MASS COMMUNICATION MEDIA.
§ 4. This act shall take effect immediately.