19 Miss. Code. R. 2-18.06 - Duties of Insurers and Producers
A. Best Interest
Obligations. A producer, when making a recommendation of an annuity, shall act
in the best interest of the consumer under the circumstances known at the time
the recommendation is made without placing the producer's or the insurer's
financial interest ahead of the consumer's interest. A producer has acted in
the best interest of the consumer if they have satisfied the following
obligations regarding care, disclosure, conflict of interest and documentation:
(1)
(a) Care
Obligation. The producer, in making a recommendation shall exercise reasonable
diligence, care and skill to:
(i) Know the
consumer's financial situation, insurance needs and financial
objectives:
(ii) Understand the
available recommendation options after making a reasonable inquiry into options
available to the producer;
(iii)
Have a reasonable basis to believe the recommended option effectively addresses
the consumer's financial situation, insurance needs and financial objectives
over the life of the product, as evaluated in light of the consumer profile
information; and
(iv) Communicate
the basis or bases of the recommendation.
(b) The requirements under Subparagraph (a)
of this paragraph include making reasonable efforts to obtain consumer profile
information from the consumer prior to the recommendation of annuity.
(c) The requirements under Subparagraph (a)
of this paragraph require a producer to consider the types of produces the
producer is authorized and licensed to recommend or sell that address the
consumer's financial situation, insurance needs and financial objectives. This
does not require analysis or consideration of any product outside the authority
and license of the producer or other possible alternative products or
strategies available in the market at the time of the recommendation. Producers
shall be held to standards applicable to producers with similar authority and
licensure.
(d) The requirements
under this subsection do not create a fiduciary obligation or relationship and
only create a regulatory obligation as established in this
regulation.
(e) The consumer
profile information, characteristics of the insurer, and product costs, rates,
benefits and features are those factors generally relevant in making a
determination whether an annuity effectively addresses the consumer's financial
situation, insurance needs and financial objectives, but the level of
importance of each factor under the care obligation of this paragraph may vary
depending on the facts and circumstances of a particular case. However, each
factor may not be considered in isolation.
(f) The requirements under Subparagraph (a)
of this paragraph include having a reasonable basis to believe the consumer
would benefit from certain features of the annuity, such as annuitization,
death or living benefit or other insurance-related features.
(g) The requirements under Subparagraph (a)
of this paragraph apply to the particular annuity as a whole and the underlying
subaccounts to which funds are allocated at the time of purchase or exchange of
an annuity, and riders and similar producer enhancements, if any.
(h) The requirements under Subparagraph (a)
of this paragraph do not mean the annuity with the lowest one-time or
multiple-occurrence compensation structure shall necessarily be
recommended.
(i) The requirements
under Subparagraph (a) of this paragraph do not mean the producer has ongoing
monitoring obligations under the care obligation under this paragraph, although
such an obligation may be separately owed under the terms of a fiduciary,
consulting, investment advising or financial planning agreement between the
consumer and the producer.
(j) In
the case of an exchange or replacement of an annuity, the producer shall
consider the whole transaction, which includes taking into consideration
whether:
(i) The consumer will incur a
surrender charge, be subject to the commencement of a new surrender period,
lose existing benefits, such as death, living or other contractual benefits, or
be subject to increased fees, investment advisory fees or charges for riders
and similar product enhancements;
(ii) The replacing product would
substantially benefit the consumer in comparison to the replaced product over
the life of the product, and
(iii)
The consumer has had another annuity exchange or replacement and, in
particular, an exchange or replacement within the preceding 60
months.
(k) Nothing in
this regulation should be construed to require a producer to obtain any license
other than a producer license with the appropriate line of authority to sell,
solicit or negotiate insurance in this state, including but not limited to any
securities license, in order to fulfill the duties and obligations contained in
this regulation, provided the producer does not give advice or provide services
that are otherwise subject to securities law or engage in any other activity
requiring other professional licenses.
(2) Disclosure obligation
(a) Prior to the recommendation or sale of an
annuity, the producer shall prominently disclose to the consumer on a form
substantially similar to Appendix A:
(i) A
description of the scope and terms of the relationship with the consumer and
the role of the producer in the transaction;
(ii) An affirmative statement on whether the
producer is licensed and authorized to sell the following products:
(I) Fixed annuities;
(II) Fixed indexed annuities;
(III) Variable annuities;
(IV) Life insurance;
(V) Mutual funds;
(VI) Stocks and bonds, and
(VII) Certificates of deposit;
(iii) An affirmative statement
describing the insurers the producer is authorized, contracted (or appointed),
or otherwise able to sell insurance products for, using the following
descriptions:
(I) From one insurer;
(II) From two or more insurers, or
(III) From two or more insurers although
primarily contracted with one insurer.
(iv) A description of the sources and types
of cash compensation and non-cash compensation to be received by the producer,
including whether the producer is to be compensated for the sale of a
recommended annuity by commission as part of premium or other remuneration
received from the insurer, intermediary or other producer or by fee as a result
of a contract for advice or consulting services, and
(v) A notice of the consumer's right to
request additional information regarding cash compensation described in
Subparagraph (b) of this paragraph.
(b) Upon request of the consumer or the
consumer's designated representative, the producer shall disclose:
(i) A reasonable estimate of the amount of
cash compensation to be received by the producer, which may be stated as a
range of amounts or percentages; and
(ii) Whether the case compensation is a
one-time or multiple occurrence amount, and if a multiple occurrence amount,
the frequency and amount of the occurrence, which may be stated as a range of
amounts or percentages; and
(c) Prior to or at the time of the
recommendation or sale of an annuity, the producer shall have a reasonable
basis to believe the consumer has been informed of various features of the
annuity, such as the potential surrender period and surrender charge; potential
tax penalty if the consumer sells, exchanges, surrenders or annuitizes the
annuity, mortality and expense fees, investment advisory fees, any annual fees,
potential charges for and features of riders or other options of the annuity,
limitations on interest returns, potential changes in non-guaranteed elements
of the annuity, insurance and investment components and market risk.
(3) Conflict of interest
obligation. A producer shall identify and avoid or reasonably manage and
disclose material conflicts of interest, including material conflicts of
interest related to an ownership interest.
(4) Documentation obligation. A producer
shall at the time of recommendation or sale:
(a) Make a written record of any
recommendation and the basis for the recommendation subject to this
regulation;
(b) Obtain a consumer
signed statement on a form substantially similar to Rule 18.13 (Appendix B)
documenting:
(i) A customer's refusal to
provide the consumer profile information, if any, and
(ii) A customer's understanding of the
ramifications of not providing his or her consumer profile information or
providing insufficient consumer profile information, and
(c) Obtain a consumer agreed statement on a
form substantially similar to Rule 18.14 (Appendix C) acknowledging the annuity
transaction is not recommended if a customer decides to enter into an annuity
transaction that is not based on the producer's recommendation.
(5) Application of the best
interest obligation. Any requirement applicable to a producer under this
subsection shall apply to every producer who has exercised material control or
influence in the making of a recommendation and has received direct
compensation as a result of the recommendation or sale, regardless of whether
the producer has had any direct contact with the consumer. Activities such as
providing or delivering marketing or educational materials, product wholesaling
or other back office product support, and general supervision of a producer do
not, in and of themselves, constitute material control or influence.
B. Transactions not based on a
recommendation.
(1) Except as provided under
Paragraph (2), a producer shall have no obligation to a consumer under
Subsection (a)(1) related to any annuity if:
(a) No recommendation is made;
(b) A recommendation was made and was later
found to have been prepared based on materially inaccurate information provided
by the consumer;
(c) A consumer
refuses to provide relevant consumer profile information and the annuity
transaction is not recommended, or
(d) A consumer decides to enter into an
annuity transaction that is not based on a recommendation of the
producer.
(2) An
insurer's issuance of an annuity subject to Paragraph (1) shall be reasonable
under all the circumstances actually known to the insurer at the time the
annuity is issued.
C.
Supervision system.
(1) Except as permitted
under subsection B, an insurer shall not issue an annuity recommended to a
consumer unless there is a reasonable basis to believe the annuity would
effectively address the particular consumer's financial situation, insurance
needs and financial objectives based on the consumer's consumer profile
information.
(2) An insurer shall
establish and maintain a supervision system that is reasonably designed to
achieve the insurer's and its producers' compliance with this regulation,
including, but not limited to, the following:
(a) The insurer shall establish and maintain
reasonable procedures to inform its producers of the requirements of this
regulation and shall incorporate the requirements of this regulation into
relevant producer training manuals;
(b) The insurer shall establish and maintain
standards for producer product training and shall establish and maintain
reasonable procedures to require its producers to comply with the requirements
of Rule
18.07 of this regulation;
(c) The insurer shall provide
product-specific training and training materials which explain all material
features of its annuity products to its producers;
(d) The insurer shall establish and maintain
procedures for the review of each recommendation prior to issuance of an
annuity that are designed to ensure there is a reasonable basis to determine
that the recommended annuity would effectively address the particular
consumer's financial situation, insurance needs and financial objectives. Such
review procedures may apply a screening system for the purpose of identifying
selected transactions for additional review and may be accomplished
electronically or through other means including, but not limited to, physical
review. Such an electronic or other system may be designed to require
additional review only of those transactions identified for additional review
by their selection criteria;
(e)
The insurer shall establish and maintain reasonable procedures to detect
recommendations that are not in compliance with Subsections A, B, D, and E.
This may include, but is not limited to, confirmation of the consumer's
consumer profile information, systematic customer surveys, producer and
consumer interviews, confirmation letters, producer statements or attestations
and programs of internal monitoring. Nothing in this subparagraph prevents an
insurer from complying with this subparagraph by applying sampling procedures,
or by forming the consumer profile information or other required information
under this section after issuance or delivery of the annuity.
(f) The insurer shall establish and maintain
reasonable procedures to assess, prior to or upon issuance or delivery of an
annuity, whether a producer has provided to the consumer the information
required to be provided under this section;
(g) The insurer shall establish and maintain
reasonable procedures to identify and address suspicious consumer refusals to
provide consumer profile information;
(h) The insurer shall establish and maintain
reasonable procedures to identify and eliminate any sales contests, sale
quotas, bonuses, and non-cash compensation that are based on the sales of
specific annuities within a limited period of time. The requirements of this
subparagraph are not intended to prohibit the receipt of health insurance,
office rent, office support, retirement benefits or other employee benefits by
employees as long as those benefits are not based upon the volume of sales of a
specific annuity within a limited period of time; and
(i) The insurer shall annually provide a
written report to senior management, including to the senior manager
responsible for audit functions, which details a review, with appropriate
testing, reasonably designed to determine the effectiveness of the supervision
system, the exceptions found, and corrective action taken or recommended, if
any.
(3)
(a) Nothing in this subsection restricts an
insurer from contracting for performance of a function (including maintenance
of procedures) required under this subsection. An insurer is responsible for
taking appropriate corrective action and may be subject to sanctions and
penalties pursuant to Rule
18.08 of this regulation regardless
of whether the insurer contracts for performance of a function and regardless
of the insurer's compliance with Subparagraph (b) of this paragraph.
(b) An insurer's supervision system under
this subsection shall include supervision of contractual performance under this
subsection. This includes, but is not limited to, the following:
(i) Monitoring and, as appropriate,
conducting audits to assure that the contracted function is properly performed;
and
(ii) Annually obtaining a
certification from a senior manager who has responsibility for the contracted
function that the manager has a reasonable basis to represent, and does
represent, that the function is properly performed.
(4) An insurer is not required to
include in its system of supervision:
(a) A
producer's recommendation to consumers of products other than the annuities
offered by the insurer, or
(b)
Consideration of or comparison to options available to the producer or
compensation relating to those options other than annuities or other products
offered by the insurer.
D. Prohibited Practices. Neither a producer
nor an insurer shall dissuade, or attempt to dissuade, a consumer from:
(1) Truthfully responding to an insurer's
request for confirmation of the consumer profile information;
(2) Filing a complaint; or
(3) Cooperating with the investigation of a
complaint.
E. Safe
Harbor.
(1) Recommendations and sales of
annuities made in compliance with comparable standards shall satisfy the
requirements under this regulation. This subsection applies to all
recommendations and sales of annuities made by financial professionals in
compliance with business rules, controls and procedures that satisfy a
comparable standard even if such standard would not otherwise apply to the
product or recommendation at issue. However, nothing in this subsection shall
limit the insurance commissioner's ability to investigate and enforce the
provisions of this regulation.
(2)
Nothing in Paragraph (1) shall limit the insurer's obligation to comply with
Rule 18.06(C)(1) of this regulation, although the insurer may base its analysis
on information received from either the financial professional or the entity
supervising the financial professional.
(3) For paragraph (1) to apply, an insurer
shall:
(a) Monitor the relevant conduct of the
financial professional seeking to rely on Paragraph (1) or the entity
responsible for supervising the financial professional, such as the financial
professional's broker-dealer or an investment adviser registered under federal
securities laws using information collected in the normal course of an
insurer's business; and,
(b)
Provide to the entity responsible for supervising the financial professional
seeking to rely on Paragraph (1) such as the financial professional's
broker-dealer or investment adviser registered under federal securities laws,
information and reports that are reasonably appropriate to assist such entity
to maintain its supervisory system.
(4) For purposes of this subsection,
"financial professional" means a producer that is regulated and acting as:
(a) A broker-dealer registered under federal
securities laws or a registered representative of a broker-dealer.
(b) An investment adviser registered under
federal securities laws or an investment adviser representative associated with
the federal registered investment adviser; or
(c) A plan fiduciary under Section 3(21) of
the Employee Retirement Income Security Act of 1974 (ERISA) or fiduciary under
Section 4975(a)(3) of the Internal Revenue Code (IRC) or any amendments or
successor statutes thereto.
(5) For purposes of this subsection,
"comparable standards" means:
(a) With respect
to broker-dealers and registered representatives of broker-dealers, applicable
SEC and FINRA rules pertaining to best interest obligations and supervision of
annuity recommendations and sales, including, but not limited to, Regulation
Best Interest and any amendments or successor regulations thereto.
(b) With respect to investment advisers
registered under federal securities laws or investment adviser representatives,
the fiduciary duties and all other requirements imposed on such investment
advisers or investment adviser representatives by contract or under the
Investment Advisers Act of 1940, including but not limited to, the Form ADV and
interpretations, and
(c) With
respect to plan fiduciaries or fiduciaries, means the duties, obligations,
prohibitions, and all other requirements attendant to such status under ERISA
or the IRC and any amendments or successor statutes thereto.
Notes
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