760 IAC 1-61-7 Disclosure forms

Sec. 7. The following requirements apply to each disclosure form that will be used in connection with a viatical settlement contract that is negotiated or executed in Indiana: (1) The disclosure form shall be provided to the viator prior to the date the viator signs the viatical settlement contract. (2) The disclosures required by IC 27-8-19.8-23 shall be prominently displayed. (3) The disclosure required by IC 27-8-19.8-23(7) shall specifically address at least the following rights and benefits if available under the insurance policy to be viaticated: (A) Guaranteed insurability options. (B) Accidental death or accidental death and dismemberment benefits. (C) Disability income or loss of income protection. (D) Conversion rights. (E) Waiver of premium benefits. (F) Family, spousal, or children's riders or benefits, and any other comparable coverage for a life other than the insured's. (4) The disclosure form shall set forth the procedures for contacts with the insured in compliance with IC 27-8-19.8-24.9. The disclosure form shall contain a statement that contacts for the purposes of determining the health status of the insured must be made by mail unless the parties agree to another method. If the insured agrees to contact by a method other than mail, the alternative method or methods of contact must be included in the contract. (5) The disclosure form shall contain the following or substantially similar language, "All medical, financial, and personal information solicited or obtained by a viatical settlement agent, broker, or provider about a viator and an insured, including the identity of the viator and insured and the identity of their family members or significant other, is confidential. The information shall not be disclosed to any person unless disclosure is: (A) necessary and the viator and insured have provided written consent to the disclosure; (B) provided in response to an investigation or examination by the commissioner or other governmental officer or agency; or (C) in connection with a transfer of the contract or policy to another licensed viatical settlement provider or to an entity that provides financing to effect the contract under a written agreement with a licensed viatical settlement provider.". (6) The disclosure form shall contain the following or substantially similar language: "Your insurance policy provides financial protection to your beneficiaries. If you sell your policy to a viatical settlement provider, your beneficiaries will no longer have that protection. Before you sell your policy, you should consider whether that protection is needed. Other financial options may be available to you. Consult your financial advisor or insurance company for more information.". (7) The viatical settlement provider must keep a copy of each disclosure statement used in connection with each executed viatical settlement contract. The provider must retain any disclosure statements and signed affidavits for at least five (5) years after the death of the insured.