19 MAC Pt. 1, R. 37.07
Practices Declared False, Misleading, Deceptive or Unfair Regardless of Location
Cite as 19 Miss. Admin. Code Pt. 1, R. 37.07
Practices Declared False, Misleading, Deceptive or Unfair Regardless of Location
A. The following acts or practices by an insurer or insurance producer constitute corrupt
practices, improper influences or inducements and are declared to be false, misleading,
deceptive or unfair:
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
such purposes. This subsectiondoes 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 relationship. For purposes of this section, aformal banking relationship is
established whenthe depository institution:
a. provides the service member a deposit agreement and periodic statements
and makes the disclosures required by theTruth in Savings Act, 12 U.S.C.
§ 4301 et seq. and the regulations promulgated thereunder; and
b. permits the service member to make deposits and withdrawals unrelated to
the payment or 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 bankingrelationship as defined in subsection 7 (A)(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 DoDpersonnel, directly or indirectly, as a representative or agent in any
official or unofficialcapacity 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 members of such personnel.
6.
Offering or giving anything of value, directly or indirectly, to DoDpersonnel to
procure their assistance in encouraging, assisting or facilitating the solicitation 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.
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:
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 U.S. 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 anaccredited institution of higher learning. Such
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).
2.
Soliciting the purchase of any life insurance product through the use of or in
conjunction with any third partyorganization 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
eitherthe insurer, insurance producer or insurance productis affiliated, connected
or associated with, endorsed, sponsored, sanctioned or recommended by the U.S.
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:
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.
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 regardingSGLI or
VGLI are declared to be false, misleading, deceptive or unfair:
1.
Making any representation regarding the availability, suitability,amount, cost,
exclusions or limitations to coverage provided to a service member or
dependentsby SGLI or VGLI, which is false, misleading or deceptive.
2.
Making any representation regardingconversion requirements, includingthe costs
of coverage, or exclusions or limitations to coverage of SGLI or VGLI to private
insurers which is false, misleading or deceptive.
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 and or insurance producer regarding
disclosure are declared to be false, misleading, deceptive or unfair:
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 insurance producer, if that is the
case, for the purpose of soliciting the purchase of lifeinsurance.
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-facemeeting
with a prospective purchaser.
3.
Excluding individually issuedannuities, failing to clearly and conspicuously
disclosethe fact that the product being sold is life insurance.
4.
Failing to make, at the time of sale or offerto an individual known to be a service
member, the written disclosures required by Section 10 of the “Military Personnel
Financial Services Protection Act,”Pub. L. No. 109-290, p.16.
5.
Excluding individually issued annuities, when the sale is conducted in-person
face-to-facewith an individual known to be a service member, failing to provide
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 Mississippi
Regulation 98-2 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:
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
insurancedeath benefit, standing alone, is suitable.
2.
Offering for sale or sellinga 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
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.
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 and/or survivors or dependents.
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 issuedannuities, 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
insurance coverage. This schedule will be provided for at least each policy
year from one (1) to ten (10) and for every fifth policy year thereafter
ending at age 100, 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. Excludingindividually 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.
5. Selling any life insurance productto 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 accidental death
coverage, e.g., double indemnity, which may be excluded.