A.
Definitions.
1. "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. "Active duty" does not
include members of the reserve component who are performing active duty or
active duty under military calls or orders specifying periods of less than 31
calendar days.
2. "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.
3. "Division" means the Division of Insurance
of the Department of Insurance and Financial Institutions.
4. "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.
5. "ERISA" means the Employee Retirement and
Income Security Act;
6. "Formal
banking relationship" for purposes of subsection (D), means a relationship
established between a service member and a depository institution which:
a. Provides the service member with a deposit
agreement and periodic statements and makes disclosures required by the Truth
in Savings Act,
12 U.S.C. §
4301, et seq. and its accompanying
regulations; and
b. Permits the
service member to make deposits and withdrawals unrelated to the payment or
processing of insurance premiums.
7. "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 promotion of the insurance producer.
8. "Insurer" means an insurance company
required to be licensed under the laws of Arizona to provide life insurance
products, including annuities.
9.
"Insurance producer" means a person required to be licensed pursuant to A.R.S.
§
20-282.
10. "IRC" means Internal Revenue
Code.
11. "Known" or "Knowingly"
means 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 depending on its use in this Section, the person solicited
was either a service member or was a service member with a pay grade of E-4 or
below.
12. "Life insurance" has the
meaning defined at A.R.S. §
20-254.
13. "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.
14. "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.
15. "Service member" means any active duty
officer (commissioned and warrant) or enlisted member of the United States
Armed Forces.
16. "SGLI" means
Service members' Group Life Insurance.
17. "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. "Side fund"
does not include:
a. Accumulated value, or
cash value, or secondary guarantees provided by an universal life insurance
policy;
b. Cash values provided by
a whole life policy which are subject to standard nonforfeiture law for life
insurance; or
c. A premium deposit
fund which:
i. Contains only premiums paid in
advance which accumulate at interest;
ii. Imposes no penalty for
withdrawal;
iii. Does not permit
funding beyond future required premiums;
iv. Is not marketed or intended as an
investment; and
v. Does not carry a
commission, either paid or calculated.
18. "Specific appointment" means a
prearranged appointment agreed upon by both parties and definite as to place
and time.
19. "U.S." means United
States.
20. "U.S. Armed Forces"
means all components of the Army, Navy, Air Force, Marine Corps, Coast Guard,
and Space Force.
21. "VGLI" means
Veterans' Group Life Insurance.
B.
The Model
Regulation is modified as follows:
1. In addition to the terms
defined in the Model Regulation, the following definitions
apply:
a. "Commissioner" means the
Director of the Arizona Department of Insurance.
b. "Regulation" means
Article.
2. Section 3 is modified to insert
"A.R.S. §
20-106, 20-142
and
20-143 " after
"of."
3. Section 7(E)(5)(b) is modified
to insert "A.R.S. §
20-1241 et
seq.,
R20-6-202, and
R20-6-209 " after "requirements of."
4. Subsection 7(F)(5) of the Model
Regulation is excluded from this Section.
Exemptions.
1. This
Section shall not apply to solicitations or sales involving:
a. Credit insurance;
b. 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;
c. 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 Division; or, when a term conversion privilege
is exercised among corporate affiliates;
d. Individual stand-alone health policies,
including disability income policies;
e. Contracts offered by SGLI or VGLI, as
authorized by
38
U.S.C. §§
1965 et seq.;
f. Life insurance contracts offered through
or by a non-profit military association, qualifying under Section 501(c)(23) of
the IRC, and which are not underwritten by an insurer; or
g. Contracts used to fund:
i. An employee pension or welfare benefit
plan that is covered by ERISA;
ii.
A plan described by Sections 401(a), 401(k), 403(b), 408(k), or 408(p) of the
IRC, as amended, if established and maintained by an employer;
iii. 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;
iv. A nonqualified deferred compensation
arrangement established or maintained by an employer or plan sponsor;
v. Settlements of or assumptions of
liabilities associated with personal injury litigation or any dispute or claim
resolution process; or
vi.
Prearranged funeral contracts.
2. Nothing in this Section shall be construed
to abrogate the ability of nonprofit organizations (and/or other organizations)
to educate members of the U.S. Armed Forces in accordance with Department of
Defense DoD Instruction 1344.07 "" Personal Commercial Solicitation on DoD
Installations or any successor directive.
3. This purposes of this Section, the
following do not constitute solicitation:
a.
General advertisements;
b. Direct
mail;
c. Internet marketing;
and
d. Telephone marketing if the
caller explicitly and conspicuously discloses that the product being marketed
is life insurance and makes no statements that avoid a clear and unequivocal
statement that life insurance is the subject matter of the
solicitation.
4. Any
in-person, face-to-face meeting resulting from an exempt type of solicitation
listed in subsection (3) is not exempt and the insurer or insurance producer is
subject to this Section.
5. The
following subsections do not apply to individually issued annuities: (D)(3)(b),
(D)(5)(c), (D)(5)(e), (D)(6)(a), (D)(6)(c) and (D)(6)(d).
C. Practices Declared False, Misleading,
Deceptive, or Unfair on a Military Installation.
1. 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:
a. Knowingly soliciting the purchase of any
life insurance product door-to-door or without first establishing a specific
appointment for each meeting with a prospective purchaser.
b. Soliciting service members in a group or
"mass" audience or in a "captive" audience where attendance is not
voluntary.
c. Knowingly making
appointments with or soliciting service members during their normally scheduled
duty hours.
d. Making appointments
with or soliciting service members in barracks, day rooms, unit areas,
transient personnel housing, or other areas where the installation commander
has prohibited solicitation.
e.
Soliciting the sale of life insurance without first obtaining permission from
the installation commander or the commander's designee.
f. Posting unauthorized bulletins, notices,
or advertisements.
g. Failing to
present DD Form 2885, Personal Commercial Solicitation Evaluation, to solicited
service members or discouraging solicited service members from completing or
submitting a DD Form 2885.
h.
Knowingly accepting an application for life insurance or issuing a policy of
life insurance on the life of an enlisted member of the U.S. Armed Forces
without first obtaining 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 U.S. Armed Forces for the
insurer's files.
2. 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:
a. 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.
b. Using an insurance producer to participate
in any U.S. Armed Forces sponsored education or orientation program.
D. Practices declared
false, misleading, deceptive, or unfair regardless of location.
1. 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:
a. Submitting, processing, or assisting in
the submission or processing of any allotment form or similar device used by
the U.S. Armed Forces to direct a service member's pay to a third party for the
purchase of life insurance. This includes, but is not limited to, using or
assisting in using the service member's "MyPay" account or other similar
internet or electronic medium. This subsection does not prohibit an insurer or
insurance producer assisting a service member by providing the insurer or
premium information necessary to complete any allotment form.
b. 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.
c. Employing any device or method or entering
into any agreement where 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.
d. Entering into any
agreement with a depository institution for the purposes of receiving funds
from a service member where the depository institution, with or without
compensation, agrees to accept direct deposits from a service member with whom
it has no formal banking relationship.
e. 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
their family members.
f. 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 a service member.
g. Knowingly offering or giving anything of
value to a service member with a pay grade of E-4 or below for their attendance
to any event where an application for life insurance is solicited.
h. Advising a service member with a pay grade
of E-4 or below to change their income tax withholding or state of legal
residence for the sole purpose of increasing disposable income to purchase life
insurance.
2. 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, deceptive, or unfair:
a. 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 affiliate, connected or
associated with, endorsed, sponsored, sanctioned, or recommended by the U.S.
government, the U.S. Armed Forces, or any state, 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." An insurance producer may use 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
including, but not limited to, Chartered Life Underwriter (CLU), Chartered
Financial Consultant (ChFC), Certified Financial Planner (CFP), Masters of
Science in Financial Services (MSFS), or Masters of Science Financial Planning
(MS).
b. 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 U.S.
Armed Forces in a manner that has a 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 U.S. Armed
Forces.
3. 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:
a. 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.
b. Misrepresenting the
mortality costs of a life insurance product, including a statement or
implication that the product costs nothing or is free.
4. The following acts or practices by an
insurer or insurance producer regarding SGLI or VGLI are declared to be false,
misleading, deceptive, or unfair:
a. 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.
b. Making any representation regarding
conversion requirements, including the costs of coverage, or exclusions or
limitations of coverage of SGLI or VGLI to private insurers which is false,
misleading, or deceptive.
c.
Suggesting, recommending, or encouraging a service member to cancel or
terminate their 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 U.S. Armed Forces.
5. The following acts or practices
by an insurer or insurance producer regarding disclosure are declared to be
false, misleading, deceptive, or unfair:
a.
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.
b. 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.
c. Failing
to clearly and conspicuously disclose that fact that the product being sold is
life insurance.
d. 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,
10 U.S.C. §
992 note.
e. When the sale is conducted in-person and
face-to-face with an individual known to be a service member, failing at the
time the application is taken to provide to the applicant:
i. An explanation of any applicable free look
period with instructions on how to cancel if a policy is issued; and
ii. 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 A.R.S. §§
20-1241
through
20-1241.09,
Section
R20-6-202 and Section
R20-6-209 shall be deemed sufficient to meet this requirement for a written
disclosure.
6. 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, deceptive, or unfair:
a. Recommending the purchase of any life
insurance product which includes a side fund to a service member in pay grades
E-4 and below unless the insurer has reasonable grounds for believing that the
life insurance death benefit, standing alone, is suitable.
b. Offering for sale or selling a life
insurance product which includes a side fund to a service member in pay grades
E-4 and below 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.
i. "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.
ii. "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.
c. Offering for sale or selling any life
insurance contract which includes a side fund:
i. Unless interest credited accrues from the
date of deposit to the date of withdrawal and permits withdrawals without limit
or penalty;
ii. 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 year one to year ten and for every
fifth policy year thereafter ending at age 100, policy maturity or final
expiration; and
iii. Which by
default diverts or transfers funds accumulated to the side fund to pay, reduce,
or offset any premiums due.
d. 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.