Legislation
SECTION 3205
Insurable interest in the person; consent required; exceptions
Insurance (ISC) CHAPTER 28, ARTICLE 32
§ 3205. Insurable interest in the person; consent required;
exceptions. (a) In this section:
(1) The term, "insurable interest" means:
(A) in the case of persons closely related by blood or by law, a
substantial interest engendered by love and affection;
(B) in the case of other persons, a lawful and substantial economic
interest in the continued life, health or bodily safety of the person
insured, as distinguished from an interest which would arise only by, or
would be enhanced in value by, the death, disablement or injury of the
insured.
(2) The term "contract of insurance upon the person" includes any
policy of life insurance and any policy of accident and health
insurance.
(3) The term "person insured" means the natural person, or persons,
whose life, health or bodily safety is insured.
(b) (1) Any person of lawful age may on his own initiative procure or
effect a contract of insurance upon his own person for the benefit of
any person, firm, association or corporation. Nothing herein shall be
deemed to prohibit the immediate transfer or assignment of a contract so
procured or effectuated.
(2) No person shall procure or cause to be procured, directly or by
assignment or otherwise any contract of insurance upon the person of
another unless the benefits under such contract are payable to the
person insured or his personal representatives, or to a person having,
at the time when such contract is made, an insurable interest in the
person insured.
(3) Notwithstanding the provisions of paragraphs one and two of this
subsection, a Type B charitable, educational or religious corporation
formed pursuant to paragraph (b) of section two hundred one of the
not-for-profit corporation law, or its agent, may procure or cause to be
procured, directly or by assignment or otherwise, a contract of life
insurance upon the person of another and may designate itself or cause
to have itself designated as the beneficiary of such contract.
(4) If the beneficiary, assignee or other payee under any contract
made in violation of this subsection receives from the insurer any
benefits thereunder accruing upon the death, disablement or injury of
the person insured, the person insured or his executor or administrator
may maintain an action to recover such benefits from the person
receiving them.
(c) No contract of insurance upon the person, except a policy of group
life insurance, group or blanket accident and health insurance, or
family insurance, as defined in this chapter, shall be made or
effectuated unless at or before the making of such contract the person
insured, being of lawful age or competent to contract therefor, applies
for or consents in writing to the making of the contract, except in the
following cases:
(1) A wife or a husband may effectuate insurance upon the person of
the other.
(2) Any person having an insurable interest in the life of a minor
under the age of fourteen years and six months or any person upon whom
such minor is dependent for support and maintenance, may effectuate a
contract of insurance upon the life of such minor, in an amount which
shall not exceed the limits specified in section three thousand two
hundred seven of this article.
(d) In addition to any other basis under which either an employer, or
an irrevocable trust established by one or more employers or one or more
employers and one or more labor unions, have an insurable interest in
the lives of any of its employees or retirees or those of its
subsidiaries or affiliated companies, an employer or such a trust shall
have an insurable interest in the lives of any such employees or
retirees who are participants or who are eligible to participate, upon
the satisfaction of age, service or similar eligibility criteria, in an
employee benefit plan, established or maintained by an employer as
defined by the federal Employee Retirement Income Security Act of 1974,
29 U.S.C. § 1001 et seq., provided that:
(1) The employer providing for insurance coverage or causing such
coverage to be issued under this subsection: (A) prior to or at the
commencement of any such coverage notifies prospective insureds in
writing that coverage is being obtained on their lives, requires that
prospective insureds consent in writing to such coverage, provides each
consenting insured the right to have any coverage on his/her life issued
under the authority of this subsection discontinued at any time and
describes in the notice the method the insured may use to terminate
coverage; (B) at the time any insured employee's employment terminates,
notifies the employee of the right to discontinue such coverage,
provided, however, that no such notification shall be required if the
insured employee possesses a present or prospective right to receive any
of the benefits under an employee benefit plan being financed, in whole
or in part, by such life insurance coverage; and (C) at any time after
the termination of an insured employee's employment and upon the
termination of an employee benefit plan being financed, in whole or in
part, by such life insurance coverage or a reduction of the benefits
provided thereunder, notifies the employee of the right to discontinue
such coverage.
(2) At the time coverage is issued, the total amount of insurance
coverage issued to date to the employer or trust under authority of this
subsection shall not exceed the costs of employee and/or retiree
benefits already incurred in connection with such employee benefit plan
since the earliest date coverage on an employee or retiree was issued
under this subsection, plus the projected future cost of such benefits
as established by the employer.
(3) The amount of coverage insuring the life of each such employee or
retiree and the selection of the employees or retirees to be insured is
based purely on nondiscriminatory factors such as age, premium amount or
some other nondiscriminatory factor, and not on conditions or terms of
employment other than participation in an employee benefit plan
described herein.
(4) If subsequent to issuance of the policy or policies providing life
insurance coverage pursuant to this subsection, the insurer providing
the coverage is replaced by another insurer, the employer shall notify
each insured employee or retiree of such replacement.
(5) During the first five years subsequent to issuance of the policy
or policies providing life insurance pursuant to this subsection, the
policyholder does not undertake a pattern of borrowing likely to require
all or a substantial part of the cash values of the policies to be
pledged as security against repayment of such loans, unless such
borrowing was incurred because of an unforeseen substantial loss of
income or unforeseen increase in financial obligations.
(e) If, pursuant to subparagraph (A) of paragraph one of subsection
(d) of this section, the employer receives from the employee or retiree
written notice that he or she rejects the issuance of the insurance, the
employer shall notify the insurer of such rejection and the insurance
shall not be issued, or if the insurance has already been issued and the
employee elects to have the existing coverage terminated, the employee
shall notify the insurer of the election to terminate coverage in
writing, and upon receipt of such written notice from the employee, the
insurance shall not be continued in effect and shall terminate upon
receipt of such written notice from the employee. In such event, the
insurer shall pay any amounts which are payable to the employer or trust
policy owner as the result of such termination of coverage, pursuant to
the terms and conditions of coverage. Unless the employee or retiree
complies with the requirements of this subsection, neither the employee,
retiree nor his or her successor in interest, may contest the validity
of the coverage.
exceptions. (a) In this section:
(1) The term, "insurable interest" means:
(A) in the case of persons closely related by blood or by law, a
substantial interest engendered by love and affection;
(B) in the case of other persons, a lawful and substantial economic
interest in the continued life, health or bodily safety of the person
insured, as distinguished from an interest which would arise only by, or
would be enhanced in value by, the death, disablement or injury of the
insured.
(2) The term "contract of insurance upon the person" includes any
policy of life insurance and any policy of accident and health
insurance.
(3) The term "person insured" means the natural person, or persons,
whose life, health or bodily safety is insured.
(b) (1) Any person of lawful age may on his own initiative procure or
effect a contract of insurance upon his own person for the benefit of
any person, firm, association or corporation. Nothing herein shall be
deemed to prohibit the immediate transfer or assignment of a contract so
procured or effectuated.
(2) No person shall procure or cause to be procured, directly or by
assignment or otherwise any contract of insurance upon the person of
another unless the benefits under such contract are payable to the
person insured or his personal representatives, or to a person having,
at the time when such contract is made, an insurable interest in the
person insured.
(3) Notwithstanding the provisions of paragraphs one and two of this
subsection, a Type B charitable, educational or religious corporation
formed pursuant to paragraph (b) of section two hundred one of the
not-for-profit corporation law, or its agent, may procure or cause to be
procured, directly or by assignment or otherwise, a contract of life
insurance upon the person of another and may designate itself or cause
to have itself designated as the beneficiary of such contract.
(4) If the beneficiary, assignee or other payee under any contract
made in violation of this subsection receives from the insurer any
benefits thereunder accruing upon the death, disablement or injury of
the person insured, the person insured or his executor or administrator
may maintain an action to recover such benefits from the person
receiving them.
(c) No contract of insurance upon the person, except a policy of group
life insurance, group or blanket accident and health insurance, or
family insurance, as defined in this chapter, shall be made or
effectuated unless at or before the making of such contract the person
insured, being of lawful age or competent to contract therefor, applies
for or consents in writing to the making of the contract, except in the
following cases:
(1) A wife or a husband may effectuate insurance upon the person of
the other.
(2) Any person having an insurable interest in the life of a minor
under the age of fourteen years and six months or any person upon whom
such minor is dependent for support and maintenance, may effectuate a
contract of insurance upon the life of such minor, in an amount which
shall not exceed the limits specified in section three thousand two
hundred seven of this article.
(d) In addition to any other basis under which either an employer, or
an irrevocable trust established by one or more employers or one or more
employers and one or more labor unions, have an insurable interest in
the lives of any of its employees or retirees or those of its
subsidiaries or affiliated companies, an employer or such a trust shall
have an insurable interest in the lives of any such employees or
retirees who are participants or who are eligible to participate, upon
the satisfaction of age, service or similar eligibility criteria, in an
employee benefit plan, established or maintained by an employer as
defined by the federal Employee Retirement Income Security Act of 1974,
29 U.S.C. § 1001 et seq., provided that:
(1) The employer providing for insurance coverage or causing such
coverage to be issued under this subsection: (A) prior to or at the
commencement of any such coverage notifies prospective insureds in
writing that coverage is being obtained on their lives, requires that
prospective insureds consent in writing to such coverage, provides each
consenting insured the right to have any coverage on his/her life issued
under the authority of this subsection discontinued at any time and
describes in the notice the method the insured may use to terminate
coverage; (B) at the time any insured employee's employment terminates,
notifies the employee of the right to discontinue such coverage,
provided, however, that no such notification shall be required if the
insured employee possesses a present or prospective right to receive any
of the benefits under an employee benefit plan being financed, in whole
or in part, by such life insurance coverage; and (C) at any time after
the termination of an insured employee's employment and upon the
termination of an employee benefit plan being financed, in whole or in
part, by such life insurance coverage or a reduction of the benefits
provided thereunder, notifies the employee of the right to discontinue
such coverage.
(2) At the time coverage is issued, the total amount of insurance
coverage issued to date to the employer or trust under authority of this
subsection shall not exceed the costs of employee and/or retiree
benefits already incurred in connection with such employee benefit plan
since the earliest date coverage on an employee or retiree was issued
under this subsection, plus the projected future cost of such benefits
as established by the employer.
(3) The amount of coverage insuring the life of each such employee or
retiree and the selection of the employees or retirees to be insured is
based purely on nondiscriminatory factors such as age, premium amount or
some other nondiscriminatory factor, and not on conditions or terms of
employment other than participation in an employee benefit plan
described herein.
(4) If subsequent to issuance of the policy or policies providing life
insurance coverage pursuant to this subsection, the insurer providing
the coverage is replaced by another insurer, the employer shall notify
each insured employee or retiree of such replacement.
(5) During the first five years subsequent to issuance of the policy
or policies providing life insurance pursuant to this subsection, the
policyholder does not undertake a pattern of borrowing likely to require
all or a substantial part of the cash values of the policies to be
pledged as security against repayment of such loans, unless such
borrowing was incurred because of an unforeseen substantial loss of
income or unforeseen increase in financial obligations.
(e) If, pursuant to subparagraph (A) of paragraph one of subsection
(d) of this section, the employer receives from the employee or retiree
written notice that he or she rejects the issuance of the insurance, the
employer shall notify the insurer of such rejection and the insurance
shall not be issued, or if the insurance has already been issued and the
employee elects to have the existing coverage terminated, the employee
shall notify the insurer of the election to terminate coverage in
writing, and upon receipt of such written notice from the employee, the
insurance shall not be continued in effect and shall terminate upon
receipt of such written notice from the employee. In such event, the
insurer shall pay any amounts which are payable to the employer or trust
policy owner as the result of such termination of coverage, pursuant to
the terms and conditions of coverage. Unless the employee or retiree
complies with the requirements of this subsection, neither the employee,
retiree nor his or her successor in interest, may contest the validity
of the coverage.