02-031 C.M.R. ch. 245
| Section 1. | Purpose |
|---|---|
| Section 2. | Scope |
| Section 3. | Authority |
| Section 4. | Exemptions |
| Section 5. | Definitions |
| Section 6. | Practices Declared False, Misleading, Deceptive, or Unfair on a Military Installation |
| Section 7. | Practices Declared False, Misleading, Deceptive, or Unfair Regardless of Location |
| Section 8. | Severability |
| Section 9. | Effective Date |
A. The purpose of this Rule 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, deceptive, or unfair.
B. Nothing herein shall be construed to create or imply a private cause of action for a violation of this Rule.
This Rule 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
This Rule is adopted under the authority of 24-A M.R.S.A. §§ 212 and 2151-B.
A. This Rule 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;
1. 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 superintendent; or, when a term conversion privilege is exercised among corporate affiliates;
2. 4. Individual stand-alone health policies, including disability income policies;
3. 5. Contracts offered by Servicemembers' Group Life Insurance (SGLI) or Veterans' Group Life Insurance (VGLI), as authorized by 38 U.S.C. §§ 1965 et seq.;
4. 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
5. 7. Contracts used to fund:
1. (a) An employee pension or welfare benefit plan that is covered by the Employee Retirement and Income Security Act (ERISA);
2. (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;
3. (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;
4. (d) A nonqualified deferred compensation arrangement established or maintained by an employer or plan sponsor;
5. (e) Settlements of or assumptions of liabilities associated with personal injury litigation or any dispute or claim resolution process; or
6. (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 Rule, 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 Rule in any in-person, face-to-face meeting established as a result of the “solicitation”
exemptions identified in this Subsection.
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.
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, deceptive or unfair:
(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.
[Drafting Note: Currently, Army Regulation 210-7, which applies only to Army pay grades E-3 and below, requires that DA Form 2056, "Commercial Insurance Solicitation Record" be completed. At the time this Rule was adopted, there were no similar requirements for other service branches, although it is anticipated that in the future there may be similar regulations adopted by other service branches.]
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, deceptive, or unfair:
(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.
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, deceptive, or unfair:
(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:
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, 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, deceptive, or unfair:
(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, deceptive, or unfair:
(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, deceptive, or unfair:
(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.
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 the 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.
If any provision of this Rule or the application thereof to any person or circumstance is held invalid for any reason, the invalidity shall not affect the other provisions of this Rule or any other application of the subject Provision that can be given effect without the invalid provisions or application. To this end all provisions of this Rule are declared to be severable.
This Rule shall become effective January 1, 2008 and shall apply to acts or practices committed on or after the effective date.
STATUTORY AUTHORITY: 24-A M.R.S.A. §§ 212 AND 2151-B
EFFECTIVE DATE:
January 1, 2008 – filing 2007-508