HAR §16-171-603
HAR §16-171-603. Scope and exemptions
Cite as Haw. Code R. § 16-171-603
(a) This
subchapter 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.
(b)
This subchapter 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 insurer or where the contract or
certificate does not include a side fund;
(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, when the
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existing policy or contract is being
replaced by the same insurer pursuant to a
program filed with and approved by the
commissioner or when a term conversion
privilege is exercised among corporate
affiliates;
(4)
Individual stand-alone health policies,
including disability income policies;
(5)
Except as provided herein, contract offered
by SGLI or VGLI, as authorized by 38 U.S.C.
section 1965 et seq.;
(6)
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
(7)
Contracts used to fund:
(A)
An employee pension or welfare benefit
plan that is covered by the Employee
Retirement and Income Security Act
("ERISA");
(B)
A plan described by sections 401(a),
401(k), 403(b), 408(k), and 408 (p) of
the IRC, as amended, if established or
maintained by an employer;
(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;
(D)
A nonqualified deferred compensation
arrangement established or maintained
by an employer or a plan sponsor;
(E)
Settlements or assumptions or
liabilities associated with personal
injury litigation or any dispute or
claim resolution process; or
(F)
Prearranged funeral contracts.
(8)
Nothing herein shall be construed to
abrogate the ability of nonprofit
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171-28
organizations 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.
(9)
For purposes of this regulation, 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
involves life insurance or an annuity and
makes no statements that preclude a clear
and unequivocal understanding that life
insurance or any annuity is the only subject
matter of the solicitation. Provided,
however, that nothing in this subsection
shall be construed to relieve an insurer or
insurance producer from this regulation in
any in-person, face-to-face meeting
established as a result of the
"solicitation" exemptions identified in this
subsection. [Eff 03/28/08; comp 1/22/10;
comp 12/13/12; am and comp 02/02/17; comp
9/30/21] (Auth: HRS §§431:2-201, 431:2-
201.8) (Imp: HRS §431:1-201.8)
§16-171-604 Practices declared false,
misleading, deceptive, or unfair on a military
installation. (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
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171-29
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, 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 form DD 2885; or
(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.
(b)
The following acts or practices when
committed on a military installation by an insurer or
insurance producer constitute a corrupt practice,
improper influence, or inducement and are declared to
be false, misleading, deceptive or unfair:
§16-171-604
171-30
(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; or
(2)
Using an insurance producer to participate
in any United States Armed Forces sponsored
education or orientation program. (Eff
03/28/08; comp 1/22/10; comp 12/13/12; am
and comp 02/02/17; comp 9/30/21] (Auth:
HRS §§431:2-201; 431:2-201.8) (Imp: HRS
§431:1-201.8)
§16-171-605 Practices declared false,
misleading, deceptive, or unfair regardless of
location. (a) The following acts or practices by an
insurer or insurance producer constitute a corrupt
practice, improper influence, or inducement and are
declared to be false, misleading, deceptive, or
unfair. They include, but are not limited to:
(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 that purpose. 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
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171-31
relationship. For purposes of this section,
a formal banking relationship is established
when the depository institution:
(A)
Provides the service member with a
deposit agreement and periodic
statements and makes the disclosures
required by the Truth in Savings Act,
12 U.S.C. section 4301 et seq. and the
regulations promulgated thereunder; and
(B)
Permits the service member to make
deposits and withdrawals unrelated to
the payment of processing of insurance
premiums;
(3)
Employing any device or method or entering
into any agreement whereby 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 as defined in paragraph (2);
(4)
Entering into any agreement with a
depository institution for the purpose of
receiving funds from a service member
whereby the depository institution, with or
without compensation, agrees to accept
direct deposits from a service member with
whom it has no formal banking relationship;
(5)
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 the family member of those
service members;
(6)
Offering or giving anything of value,
directly or indirectly, to DoD personnel to
procure their assistance in encouraging,
assisting or facilitating the solicitation
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171-32
or sale of life insurance to another service
member;
(7)
Knowingly offering or giving anything of
value to a service member with a pay grade
of E-4 or below for his or her attendance to
any event where an application for life
insurance is solicited; or
(8)
Advising a service member with a pay grade
of E-4 or below to change his or her income
tax withholding or state of legal residence
for the sole purpose of increasing
disposable income to purchase life
insurance.
(b)
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. They include, but are not
limited to:
(1)
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 affiliated,
connected, or associated with, endorsed,
sponsored, sanctioned, or recommended by the
United States government, the United States
Armed Forces, or any state or 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".
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. These
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171-33
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"); or
(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, or
associated with, endorsed, sponsored,
sanctioned, or recommended by the United
States 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. They include, but are not limited to:
(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; or
(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. They include, but are not limited to:
(1)
Making any representation regarding the
availability, suitability, amount, cost
exclusions or limitations to coverage
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171-34
provided to a service member or dependents
by SGLI or VGLI, which is false, misleading,
deceptive, or unfair;
(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, deceptive, or
unfair; or
(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 or insurance producer regarding disclosure are
declared to be false, misleading, deceptive, or
unfair. They include, but are not limited to:
(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 insurer or insurance
producer, if that is the case, for the
purpose of soliciting the purchase of life
insurance;
(2)
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;
(3)
Excluding individually issued annuities,
failing to clearly and conspicuously
disclose the fact that the product being
sold is life insurance;
(4)
Failing to make, at the time of sale or
offer to individual known to be a service
member, the written disclosures required by
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171-35
section 10 of the "Military Personnel
Financial Services Protection Act", Pub. L.
No. 109-290, at 1323-1324; or
(5)
Excluding individually issued annuities,
when the sale is conducted in-person, face-
to-face with an individual known to be a
service member, failing to provide to the
applicant at the time the application is
taken:
(A)
An explanation of any free-look period
with instructions on how to cancel if a
policy is issued; and
(B)
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 chapter
431, article 10D, part IV, HRS, shall
be deemed sufficient to meet this
requirement for a written disclosure.
(f)
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. They
include, but are not limited to:
(1)
Excluding individually issued annuities,
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;
(2)
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
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171-36
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. For the purposes of this
paragraph:
(A)
"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,
survivors or dependents; and
(B)
"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;
(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
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171-37
insurance coverage. This schedule will
be provided for at least each policy
year from one to ten and for every
fifth policy year thereafter ending at
age one hundred, 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 standard
nonforfeiture law for life insurance; or
(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, for
example, double indemnity, which may be
excluded. (Eff 03/28/08; comp 1/22/10; comp
12/13/12; am and comp 02/02/17; comp
9/30/21] (Auth: HRS §§431:2-201; 431:2-
201.8) (Imp: HRS §431:1-201.8)