Tenn. Comp. R. & Regs. 0780-01-86-.06 - DUTIES OF INSURERS AND PRODUCERS
(1) 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:
(a)
1. 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.
2. The requirements under Part 1. of this
subparagraph include making reasonable efforts to obtain consumer profile
information from the consumer prior to the recommendation of an
annuity.
3. The requirements under
Part 1. of this subparagraph require a producer to consider the types of
products 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 products
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.
4. The requirements under this paragraph do
not create a fiduciary obligation or relationship and only create a regulatory
obligation as established in this rule.
5. The consumer profile information;
characteristics of the insurer; and product costs, rates, benefits, and
features are those factors generally relevant in determining 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 subparagraph may vary depending on the facts and
circumstances of a particular case. However, each factor may not be considered
in isolation.
6. The requirements
under Part 1. of this subparagraph 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.
7. The requirements under
Part 1. of this subparagraph 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 product enhancements, if
any.
8. The requirements under Part
1. of this subparagraph do not mean the annuity with the lowest one-time or
multiple occurrence compensation structure shall necessarily be
recommended.
9. The requirements
under Part 1. of this subparagraph do not mean the producer has ongoing
monitoring obligations under the care obligation under this subparagraph,
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.
10. 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 sixty (60) months.
11. Nothing in this Chapter 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 rule; provided
the producer does not give advice or provide services that are otherwise
subject to securities laws or engage in any other activity requiring other
professional licenses.
(b) Disclosure obligation.
1. 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 Part 2.
of this subparagraph.
2.
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 cash 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.
3. 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.
(c) 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.
(d) Documentation obligation. A producer
shall at the time of recommendation or sale:
1. Make a written record of any
recommendation and the basis for the recommendation subject to this
Chapter;
2. Obtain a consumer
signed statement on a form substantially similar to 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
3. Obtain a consumer signed statement on a
form substantially similar to 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.
(e) Application of the best interest
obligation. Any requirement applicable to a producer under this paragraph 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.
(2) Transactions not based on a
recommendation.
(a) Except as provided under
subparagraph (b) of this paragraph, a producer shall have no obligation to a
consumer under paragraph (1)(a) of this rule related to any annuity transaction
if:
1. No recommendation is made;
2. A recommendation was made and was later
found to have been prepared based on materially inaccurate information provided
by the consumer;
3. A consumer
refuses to provide relevant consumer profile information and the annuity
transaction is not recommended; or
4. A consumer decides to enter into an
annuity transaction that is not based on a recommendation of the
producer.
(b) An
insurer's issuance of an annuity subject to subparagraph (a) of this paragraph
shall be reasonable under all the circumstances actually known to the insurer
at the time the annuity is issued.
(3) Supervision system.
(a) Except as permitted under paragraph (2)
of this rule, an insurer may 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.
(b) An insurer shall
establish and maintain a supervision system that is reasonably designed to
achieve the insurer's and its producers" compliance with this rule, including,
but not limited to, the following:
1. The
insurer shall establish and maintain reasonable procedures to inform its
producers of the requirements of this Chapter and shall incorporate the
requirements of this Chapter into relevant producer training manuals;
2. 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 0780-01-86-.07;
3. The insurer shall provide product-specific
training and training materials which explain all material features of its
annuity products to its producers;
4. 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 the selection criteria;
5. The
insurer shall establish and maintain reasonable procedures to detect
recommendations that are not in compliance with paragraphs (1), (2), (4), and
(5) of this rule. 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 part
prevents an insurer from complying with this part by applying sampling
procedures, or by confirming the consumer profile information or other required
information under this Chapter after issuance or delivery of the
annuity;
6. 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 Chapter;
7. The insurer shall establish and maintain
reasonable procedures to identify and address suspicious consumer refusals to
provide consumer profile information;
8. The insurer shall establish and maintain
reasonable procedures to identify and eliminate any sales contests, sales
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
part 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
9. 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.
(c)
1. Nothing in this paragraph restricts an
insurer from contracting for performance of a function (including maintenance
of procedures) required under this paragraph. An insurer is responsible for
taking appropriate corrective action and may be subject to sanctions and
penalties pursuant to rule
0780-01-86-.08 regardless of
whether the insurer contracts for performance of a function and regardless of
the insurer's compliance with Part 2. of this subparagraph.
2. An insurer's supervision system under this
paragraph shall include supervision of contractual performance under this
paragraph. 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.
(d) An insurer is not required to
include in its system of supervision:
1. A
producer's recommendations to consumers of products other than the annuities
offered by the insurer; or
2.
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.
(4) Prohibited practices. Neither a producer
nor an insurer shall dissuade, or attempt to dissuade, a consumer from:
(a) Truthfully responding to an insurer's
request for confirmation of the consumer profile information;
(b) Filing a complaint; or
(c) Cooperating with the investigation of a
complaint.
(5) Safe
harbor.
(a) Recommendations and sales of
annuities made in compliance with comparable standards shall satisfy the
requirements under this rule. This paragraph 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 paragraph shall limit the commissioner's ability to
investigate and enforce the provisions of this rule.
(b) Nothing in subparagraph (a) of this
paragraph shall limit the insurer's obligation to comply with subparagraph
(3)(a) of this rule, although the insurer may base its analysis on information
received from either the financial professional or the entity supervising the
financial professional.
(c) For
subparagraph (a) of this paragraph to apply, an insurer shall:
1. Monitor the relevant conduct of the
financial professional seeking to rely on subparagraph (a) of this paragraph or
the entity responsible for supervising the financial professional, such as the
financial professional's broker-dealer or an investment adviser registered
under federal or Tennessee securities laws, using information collected in the
normal course of an insurer's business; and
2. Provide to the entity responsible for
supervising the financial professional seeking to rely on subparagraph (a) of
this paragraph, such as the financial professional's broker-dealer or
investment adviser registered under federal or Tennessee securities laws,
information and reports that are reasonably appropriate to assist such entity
to maintain its supervision system.
(d) For purposes of this paragraph,
"financial professional" means a producer that is regulated and acting as:
1. A broker-dealer registered under federal
or Tennessee securities laws or a registered representative of a
broker-dealer;
2. An investment
adviser registered under federal or Tennessee securities laws or an investment
adviser representative associated with a federal or Tennessee registered
investment adviser; or
3. A plan
fiduciary under Section 3(21) of the Employee Retirement Income Security Act of
1974 (ERISA) or fiduciary under Section
4975(e)(3) of the Internal
Revenue Code (IRC) or any amendments or successor statutes
thereto.
(e) For purposes
of this paragraph, "comparable standards" means:
1. 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 rules thereto;
2. With respect to investment advisers
registered under federal or Tennessee 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 either the Investment Advisers Act of 1940 or Tennessee securities law,
including but not limited to, the Form ADV and interpretations; and
3. With respect to plan fiduciaries or
fiduciaries, 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
Authority: T.C.A. ยงยง 56-2-301, 56-2-305, 56-3-508, 56-6-112, 56-6-124, and 56-8-101 et seq.
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