19 MAC Pt. 2, R. 5.05
Insurance Policy Requirements
Cite as 19 Miss. Admin. Code Pt. 2, R. 5.05
Insurance Policy Requirements
Policy Qualification: The Commissioner shall not approve any variable life insurance form filed
pursuant to this regulation unless it conforms to the requirements of this Section.
A. Filing of Variable Life Insurance Policies.
All variable life insurance policies, and all riders, endorsements, applications and other
documents which are to be attached to and made a part of the policy and which
relate
to the variable nature of the policy, shall be filed with the Commissioner and
approved by him prior to delivery or issuance for delivery in this state.
1. The procedures and requirements for such filing and approval shall be, to the
extent appropriate and not inconsistent with this regulation, the same as those
otherwise applicable to other life insurance policies.
2. The Commissioner may approve variable life insurance policies and related forms
with provisions the Commissioner deems to be not less favorable to the
policyholder and the beneficiary than those required by this regulation.
B. Mandatory Policy Benefit and Design Requirements.
Variable life insurance policies delivered or issued for delivery in this state shall
comply with the following minimum requirements.
1. Mortality and expense risks shall be borne by the insurer. The mortality and
expense charges shall be subject to the maximums stated in the contract.
2. For scheduled premium policies, a minimum death benefit shall be provided in
an amount at least equal to the initial face amount of the policy so long as
premiums are duly paid (subject to the provisions of Subsection (c)(2) of this
Section);
3. The policy shall reflect the investment experience of one or more separate
accounts established and maintained by the insurer. The insurer must demonstrate
that the variable life insurance policy is actuarially sound.
4. Each variable life insurance policy shall be credited with the full amount of
the net investment return applied to the benefit base.
5. Any changes in variable death benefits of each variable life insurance policy
shall be determined at least annually.
6. The cash value of each variable life insurance policy shall be determined at
least monthly. The method of computation of cash values and other non-forfeiture
benefits, as described either in the policy or in a statement filed with the
Commissioner of the state in which the policy is delivered, or issued for delivery,
shall be in accordance with actuarial procedures that recognize the variable nature
of the policy. The method of computation must be such that, if the net investment
return credited to the policy at all times from the date of issue should be equal to
the assumed investment rate with premiums and benefits determined accordingly
under the terms of the policy, then the resulting cash values and other non-
forfeiture benefits must be at least equal to the minimum values required by
Section 83-7-25 (Standard Non-Forfeiture Law) for a general account policy with
such premiums and benefits. The assumed investment rate shall not exceed the
maximum interest rate permitted under the Standard Non-Forfeiture Law of this
state. If the policy does not contain an assumed investment rate this demonstration
shall be based on the maximum interest rate permitted under the Standard Non-
Forfeiture Law. The method of computation may disregard incidental minimum
guarantees as to the dollar amounts payable. Incidental minimum guarantees
include, for example, but are not limited to, a guarantee that the amount payable
at death or maturity shall be at least equal to the amount that otherwise would
have been payable if the net investment return credited to the policy at all times
from the date of issue had been equal to the assumed investment rate.
7. The computation of values required for each variable life insurance policy
may be based upon such reasonable and necessary approximations as are
acceptable to the Commissioner.
C. Mandatory Policy Provisions.
Every variable life insurance policy filed for approval in this state shall contain at
least the following:
1.
The cover page or pages corresponding to the cover pages of each such policy
shall contain:
a. A prominent statement in either contrasting color or in boldface type that
the amount or duration of death benefit may be variable or fixed under
specified conditions;
b. A prominent statement in either contrasting color or in boldface type that
cash values may increase or decrease in accordance with the experience of
the separate account subject to any specified minimum guarantees;
c. A statement describing minimum death benefit required pursuant to
Subsection (b)(2) of Section 4;
d. The method, or a reference to the policy provision which describes the
method, for determining the amount of insurance payable at death;
e. To the extent permitted by state law, a captioned provision that the
policyholder may return the variable life insurance policy within ten (10)
days of receipt of the policy by the policyholder, and receive a refund
equal to the sum of (A) the difference between the premiums paid
including any policy fees or other charges and the amounts allocated to
any separate accounts under the policy and (B) the value of the amounts
allocated to any separate accounts under the policy, on the date the
returned policy is received by the insurer or its agent. Until such time as
state law authorizes the return of payments as calculated in the preceding
sentence, the amount of the refund shall be total of all premium payments
for such policy;
f. Such other items as are currently required for fixed benefit life insurance
policies and which are not inconsistent with this regulation.
2.
For:
a.
For scheduled premium policies, a provision for a grace period of not less
than thirty-one (31) days from the premium due date which shall provide
that where the premium is paid within the grace period, policy values will
be the same, except for the deduction of any overdue premium, as if the
premium were paid on or before the due date.
b.
For flexible premium policies, a provision for a grace period beginning
on the policy processing day when the total charges authorized by the
policy that are necessary to keep the policy in force until the next policy
processing day exceed the amounts available under the policy to pay such
charges in accordance with the terms of the policy. Such grace period shall
end on a date not less than sixty-one (61) days after the mailing date of the
Report to Policyholders required by Subsection (c) of Section 9.
The death benefit payable during the grace period will equal the
death benefit in effect immediately prior to such period less any overdue
charges. If the policy processing day occurs monthly, the insurer may
require the payment of not more than 3 times the charges which were due
on the policy processing day on which the amounts available under the
policy were insufficient to pay all charges authorized by the policy that are
necessary to keep such policy in force until the next policy processing day.
3.
For scheduled premium policies, a provision that the policy will be reinstated at
any time within three years from the date of default upon the written application
of the insured and evidence of insurability, including good health, satisfactory to
the insurer, unless the cash surrender value has been paid or the period of
extended insurance has expired, upon the payment of any outstanding
indebtedness arising subsequent to the end of the grace period following the date
of default together with accrued interest thereon to the date of reinstatement and
payment of an amount not exceeding the greater of:
a. All overdue premiums with interest at a rate not exceeding that permitted
by Section 83-7-26, Mississippi Code of 1972, as Amended, and any
indebtedness in effect at the end of the grace period following the date of
default with interest at a rate not exceeding that permitted by Section 83-7-
26, Mississippi Code of 1972, as Amended, or
b.
110% of the increase in cash value resulting from reinstatement plus all
overdue premiums for incidental insurance benefits with interest at a rate
not exceeding 8 percent per annum compounded annually.
4.
A full description of the benefit base and of the method of calculation and
application of any factors used to adjust variable benefits under the policy;
5.
A provision designating the separate account to be used and stating that:
a. The assets of such separate account shall be available to cover the
liabilities of the general account of the insurer only to the extent that the
assets of the separate account exceed the liabilities of the separate account
arising under the variable life insurance policies supported by the separate
account.
b. The assets of such separate account shall be valued at least as often as any
policy benefits vary but at least monthly.
6.
A provision specifying what documents constitute the entire insurance contract
under state law;
7.
A designation of the officers who are empowered to make an agreement or
representation on behalf of the insurer and an indication that statements by the
insured, or on his behalf, shall be considered as representations and not
warranties;
8.
An identification of the owner of the insurance contract;
9.
A provision setting forth conditions or requirements as to the designation, or
change of designation, of a beneficiary and a provision for disbursement of
benefits in the absence of a beneficiary designation;
10. A statement of any conditions or requirements concerning the assignment of the
policy;
11. A description of any adjustments in policy values to be made in the event of
misstatement of age or sex of the insured;
12. A provision that the policy shall be incontestable by the insurer after it has been in
force for two years during the lifetime of the insured, provided, however, that any
increase in the amount of the policy’s death benefits subsequent to the policy
issue date, which increase occurred upon a new application or request of the
owner and was subject to satisfactory proof of the insured’s insurability, shall be
incontestable after any such increase has been in force, during the lifetime of the
insured, for two years from the date of the issue of such increase;
13. A provision stating that the investment policy of the separate account shallnot be
changed without the approval of the Insurance Commissioner of the state of
domicile of the insurer, and that the approval process is on file with the
Commissioner of this state;
14. A provision that payment of variable death benefits in excess of any minimum
death benefits, cash values, policy loans, or partial withdrawals, (except when
used to pay premiums) or partial surrenders may be deferred:
a.
For up to six months from the date of request, if such payments are based
on policy values which do not depend on the investment performance of
the separate account, or
b. Otherwise, for any period during which the New York Stock Exchange is
closed for trading (except for normal holiday closing) or when the
Securities and Exchange Commission has determined that a state of
emergency exists which may make such payment impractical.
15. If settlement options are provided, at least one such option shall be providedon a
fixed basis only;
16. A description of the basis for computing the cash value and the surrender value
under the policy shall be included;
17. Premiums or charges for incidental insurance benefits shall be started separately;
18. Any other policy provisions required by this regulation;
19. Such other items as are currently required for fixed benefit life insurance policies
and are not inconsistent with this regulation;
20. A provision for non-forfeiture insurance benefits. The insurer may establish a
reasonable minimum cash value below which any non-forfeiture insurance
options will not be available.
D. Policy Loan Provisions.
Every variable life insurance policy, other than term insurance policies and pure
endowment policies, delivered or issued for delivery in this state shall contain
provisionswhich are not less favorable to the policyholder than the following:
A provision for policy loans after the policy has been in force for three (3) full
years which provides the following:
1. At least 75% of the policy’s cash surrender value may be borrowed;
2. The amount borrowed shall bear interest at a rate not to exceed that permitted by
state insurance law;
3. Any indebtedness shall be deducted from the proceeds payable on death;
4. Any indebtedness shall be deducted from the cash surrender value upon
surrender or in determining any non-forfeiture benefit;
5. For scheduled premium policies, whenever the indebtedness exceeds the cash
surrender value, the insurer shall give notice of any intent to cancel the policy if
the excess indebtedness is not repaid within thirty-one days after the date of
mailing of such notice. For flexible premium policies, whenever the total charges
authorized by the policy that are necessary to keep the policy in force until the
next following processing day exceed the amounts available under the policy to
pay such charges, a report must be sent to the policyholder containing the
information specified by Subsection (c) of Section 9;
6. The policy may provide that if, at any time, so long as premiums are duly paid,
the variable death benefit is less than it would have been if no loan or withdrawal
had ever been made, the policyholder may increase such variable death benefit up
to what it would have been if there had been no loan or withdrawal by paying an
amount not exceeding 100% of the corresponding increase in cash value and by
furnishing such evidence of insurability as the insurer may request;
7. The policy may specify a reasonable minimum amount which may be borrowed at
any time but such minimum shall not apply to any automatic premium loan
provision;
8. No policy loan provision is required if the policy is under extended insurance
non-forfeiture option;
9. The policy loan provisions shall be constructed so that variable life insurance
policyholders who have not exercised such provisions are not disadvantaged by
the exercise thereof;
10. Amounts paid to the policyholders upon the exercise of any policy load provision
shall be withdrawn from the separate account and shall be returned to the separate
account upon repayment except that a stock insurer may provide the amounts for
policy loans from the general account.
E. Other Policy Provisions.
The following provision may in substance be included in a variable life insurance
policy or related form delivered or issued for delivery in this state:
1.
An exclusion for suicide within two years of the issue date of the policy;
provided, however, that to the extent of the increased death benefits only, the
policy mayprovide an exclusion for suicide within two years of any increase in
death benefits which results from an application of the owner subsequent to the
policy issue date;
2.
incidental insurance benefits may be offered on a fixed or variable basis;
3.
policies issued on a participating basis shall offer to pay dividend amounts in
cash. In addition, such policies may offer the following dividend options:
a. the amount of the dividend may be credited against premium payments;
b. the amount of the dividend may be applied to provide amounts of
additional fixed or variable benefit life insurance;
c. the amount of the dividend may be deposited in the general account at a
specified minimum rate of interest;
d. the amount of the dividend may be applied to provide paid-up amounts of
fixed benefit one-year term insurance;
e. the amount of the dividend may be deposited as a variable deposit in a
separate account.
4.
A provision allowing the policyholder to elect in writing in the application for the
policy or thereafter an automatic premium loan on a basis not less favorable than
that required of policy loans under Subsection 4 of this Section, except that a
restriction that no more than two consecutive premiums can be paid under this
provision may be imposed;
5.
A provision allowing the policyholder to make partial withdrawals;
6.
Any other policy provision approved by the Commissioner.