No. 23-71
Subsection 3 of the Division of Insurance’s Regulation 3.11, which defines “replacement of life insurance” is in compliance with Section 374.045(1), (3), RSMo 1969, because such regulation is reasonably related to Section 375.936(5), RSMo 1969.
Cite as Mo. Op. Att'y Gen. No. 23-71
INSURANCE:
Subsection 3 of the Division of Insur-
ance ' s Regulation 3 . 11, which defines
"replacement of life insurance" is in compliance with Section
374 . 045( 1 ), (3) , RSMo 1969, because such regulation is reasonably
related to Section 375 . 936(5), RSMo 1969.
OPINION NO. 23
Honorable Eric F. Fink
State Representative
Forty- sixth District
May 5 , 1971
Room 2028, Capitol Building
Jefferson City, Missouri
65101
Dear Representative Fink:
FILE 0
~~
This official opinion is issued in response to your request
concerning the following:
"[W]heter or not Sec . 3 of this regulation
[Regulation 3. 11] is in compliance with
paragraph 374 . 045, RSMo, subsection 1 ,
Subdivision 3."
The specific language involved in this regulation is as
follows:
"Section 3.
Replacement of Life Insurance
Defined
"The replacement of life insurance \'lhich,
as used in this Regulation includes annuity
contracts, is defined as any transaction,
not exempted in Section 4, below,
"(A)
Wherein new life insurance is to be
purchased and it is known to the agent that ,
as part of the transaction, existing life
insurance has been or is to be;
11 (B)
Or it is known to the agent that, as
part of the transaction, existing life in-
surance has been or is to be:
Honorable Eric F. Fink
"1)
Lapsed or surrend~red;
"2)
Converted into paid-up insurance,
continued as extended term insurance
or under another form of non-forfeiture
benefit;
"3)
Converted otherwise so as to effect
a reduction either in the amount of the
existing life insurance or in the period
of time the existing life insurance will
continue in force;
"4)
Reissued with a reduc tion in amount
such that substantial cash values are re-
leased.
('Substantial cash values' in- '
elude all transactions wherein an amount
in excess of 50% of the tabular cash value
is to be released on one or more of the
existing policies .), or
"5)
Assigned as collateral for a loan or
subjected to substantial borrowing of the
loan values whether in a single loan or
under a schedule of borrowing over a
period of time .
' Substantial borrowings'
includes all transactions wherein an amount
in excess of 50% of the tabular cash value
is to be borrowed on one or more existing
policies."
Section 2 of Regulation 3.11 states:
"Section 2 .
Purpose
"The purpose of this Regulation is:
"1)
To implement the Insurance Laws of
Missouri by regulating the acts and
practices of insurers and agents with
respect to life insurance replacing life
insurance.
"2)
To protect the interes ts of the
life insurance public by establishing
minimum standards of conduct to be ob-
served in the replacement of proposed
replacement of life insurance policies;
by making available full and clear in-
formation on which an applicant for life
insurance can make a decision in his own
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Honorable Eric F. Fink
best interest; by reducing the opportunity
for misrepresentation and incomplete com-
parison in replacement situations; and by
precluding unfair methods of competition
and unfair practices . "
Section 37~ . 0~5, RSMo 1969, authorizes the Superintendent
of Insurance to make rules and regulations.
Section 37~.045(1)
states:
"1 .
The superintendent shall have the
full power and authority to make all
reasonable rules and regulations to
accomplish the following purposes:
"(3)
To effectuate or aid in the in-
terpretation of any law of this state
pertaining to the business of insurance.
II
The regulation mentioned in your request defines replacement
of life insurance .
The authority of the Divi sion of Insurance t o
promulgate such a regulation comes from Section 374.045, RSMo quoted
above.
The validity of this regulation mus t be ascertained relative
to both provisions of the general law governing administrative re-
gulations and the statutory provision enacted by the legislature
creating and detailing the duties and powers of the Division of
Insurance.
As the court said in the case of Senter v. Colarelli,
145 F.Supp. 569 (U.S. D. C.E.D. Mo. 1956):
"It is a familiar principle, both of
common sense and of statutory con-
struction , that a catch- all phrase
of this sort [providing that an ad-
ministrative office may issue reason-
able regulations] must be read in the
context of the general purpose of the
statute, ... "
Id. at 576.
Section 375 .936, RSMo 1969, defines unfair methods of com-
petition and unfair and deceptive acts or practices in the business
of insurance.
Subsection 5 of this section defines "misrepresen-
tations and false advertising of policy contracts." It states a s
follows:
"'Misrepresentations and false adver-
tising of policy contracts', making ,
issuing, circulating , or causing to be
made, issued or circulated, any es-
timate, illustration, circular or
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Honorable Eric F. Fink
statement misrepresenting the terms
of any policy issued or to be issued
or the benefits or advantages promised
thereby or the dividends or share of
the surplus to be received thereon, or
making any false or misleading state-
ments as to the dividends or share of
surplus previously paid on similar
policies, or making any misleading
representation or any misrepresen-
tation as to the financial condition
of any insurer , or as to the l egal reserve
system upon which any life insurer operates,
or using any name or title of any policy or
class of policies misrepresenting the true
nature thereof, or making any misrepresen-
tation to any policyholder insured in a
company for the purpose of inducing or
tending to induce such policyholder to lapse,
forfeit, or surrender his insurance; ..
. "
Clearly, the Division of Insurance enacted Regulation 3.11
subsection 3 to eliminate potentially unfair practices.
The Divi-
sion, itself, states this in subsection 2(2) of this regulation
as quoted above.
The questioned regulation meets all the general standards
prescr ibed for valid regulations.
These standards are set out,
in part, in 73 C.J.S. Public Administrative Bodies and Procedure,
§94 as follows:
11
.A public administrative body may
make only such rules and regulations as
are within the limits of the powers
granted to it and within the boundaries
established by the standards, limitations,
and policies of the statute giving it such
power, and it may go no further than to
make administrative rules and regulations
which fill in the interstices of the dom-
inant enactment.
It may make only rules
and regulations which effectuate a law
already enacted, and it may not make rules
and regulations which are inconsistent
with the provisions of a statute , par-
ticularly the statute it is administering
or which created it, or which are in
derogation of, or defeat, the purpose of
a statute, and it may not; by its rules
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Honorable Eric F. Fink
and regulations, amend, alter, enlarge,
or limit the terms of a legislative
enactment . u
CONCLUSION
Thus, it is the opinion of this office that Subsection 3
.of the Division of Insurance's Regulation 3.11, which defines
"replacement of life insurance" is in compliance with Section
374.045(1), (3), RSMo 1969, because such regulation is reason-
ably related to Section 375.936(5), RSMo 1969 .
The foregoing opinion, which I hereby approve, was prepared
by my Assistant, Harvey M. Tettlebaum.
'):~r~lyr yJ-/-ZP
JOHN C. DANFORTH
Attorney General
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