NDAC 45-04-01.1-05
Standards for basic illustrations
Cite as N.D. Admin. Code ยง 45-04-01.1-05
1.
Format. A basic illustration must conform with the following requirements:
a.
The illustration must be labeled with the date on which it was prepared.
b.
Each page, including any explanatory notes or pages, must be numbered and show its
relationship to the total number of pages in the illustration (e.g., the fourth page of a
seven-page illustration shall be labeled "page 4 of 7 pages").
c.
The assumed dates of payment receipt and benefit payout within a policy year must be
clearly identified.
d.
If the age of the proposed insured is shown as a component of the tabular detail, it must
be issue age plus the numbers of years the policy is assumed to have been in force.
e.
The assumed payments on which the illustrated benefits and values are based must be
identified as premium outlay or contract premium, as applicable. For policies that do not
require a specific contract premium, the illustrated payments must be identified as
premium outlay.
f.
Guaranteed death benefits and values available upon surrender, if any, for the illustrated
premium outlay or contract premium must be shown and clearly labeled guaranteed.
g.
If the illustration shows any nonguaranteed elements, they may not be based on a scale
more favorable to the policy owner than the insurer's illustrated scale at any duration.
These elements must be clearly labeled nonguaranteed.
h.
The guaranteed elements, if any, must be shown before corresponding nonguaranteed
elements and must be specifically referred to on any page of an illustration that shows or
describes only the nonguaranteed elements (e.g., "see page one for guaranteed
elements").
i.
The account or accumulation value of a policy, if shown, must be identified by the name
this value is given in the policy being illustrated and shown in close proximity to the
corresponding value available upon surrender.
j.
The value available upon surrender must be identified by the name this value is given in
the policy being illustrated and must be the amount available to the policy owner in a
lump sum after deduction of surrender charges, policy loans, and policy loan interest, as
applicable.
k.
Illustrations may show policy benefits and values in graphic or chart form in addition to
the tabular form.
l.
Any illustration of nonguaranteed elements must be accompanied by a statement
indicating that:
(1)
The benefits and values are not guaranteed;
(2)
The assumptions on which they are based are subject to change by the insurer; and
(3)
Actual results may be more or less favorable.
m.
If the illustration shows that the premium payer may have the option to allow policy
charges to be paid using nonguaranteed values, the illustration must clearly disclose that
a charge continues to be required and that, depending on actual results, the premium
payer may need to continue or resume premium outlays. Similar disclosure must be
made for premium outlay of lesser amounts or shorter durations than the contract
premium. If a contract premium is due, the premium outlay display may not be left blank
or show zero unless accompanied by an asterisk or similar mark to draw attention to the
fact that the policy is not paid up.
n.
If the applicant plans to use dividends or policy values, guaranteed or nonguaranteed, to
pay all or a portion of the contract premium or policy charges, or for any other purpose,
the illustration may reflect those plans and the impact on future policy benefits and
values.
2.
Narrative summary. A basic illustration must include the following:
a.
A brief description of the policy being illustrated, including a statement that it is a life
insurance policy;
b.
A brief description of the premium outlay or contract premium, as applicable, for the
policy. For a policy that does not require payment of a specific contract premium, the
illustration must show the premium outlay that must be paid to guarantee coverage for
the term of the contract, subject to maximum premiums allowable to qualify as a life
insurance policy under the applicable provisions of the Internal Revenue Code;
c.
A brief description of any policy features, riders, or options, guaranteed or
nonguaranteed, shown in the basic illustration and the impact they may have on the
benefits and values of the policy;
d.
Identification and a brief definition of column headings and key terms used in the
illustration; and
e.
A statement containing in substance the following: "This illustration assumes that the
currently illustrated nonguaranteed elements will continue unchanged for all years
shown. This is not likely to occur, and actual results may be more or less favorable than
those shown."
3.
Numeric summary.
a.
Following the narrative summary, a basic illustration must include a numeric summary of
the death benefits and values and the premium outlay and contract premium, as
applicable. For a policy that provides for a contract premium, the guaranteed death
benefits and values must be based on the contract premium. This summary must be
shown for at least policy years five, ten, and twenty and at age seventy, if applicable, on
the three bases shown below. For multiple life policies the summary shall show for at
least policy years five, ten, twenty, and thirty.
(1)
Policy guarantees;
(2)
Insurer's illustrated scale;
(3)
Insurer's illustrated scale used but with the nonguaranteed elements reduced as
follows:
(a)
Dividends at fifty percent of the dividends contained in the illustrated scale
used;
(b)
Nonguaranteed credited interest at rates that are the average of the
guaranteed rates and the rates contained in the illustrated scale used; and
(c)
All nonguaranteed charges, including term insurance charges, mortality and
expense charges, at rates that are the average of the guaranteed rates and the
rates contained in the illustrated scale used.
b.
In addition, if coverage would cease prior to policy maturity or age one hundred, the year
in which coverage ceases must be identified for each of the three bases.
4.
Statements. Statements substantially similar to the following must be included on the same
page as the numeric summary and signed by the applicant, or the policy owner in the case of
an illustration provided at time of delivery, as required in this chapter.
a.
A statement to be signed and dated by the applicant or policy owner reading as follows: "I
have received a copy of this illustration and understand that any nonguaranteed
elements illustrated are subject to change and could be either higher or lower. The agent
has told me they are not guaranteed."
b.
A statement to be signed and dated by the insurance producer or other authorized
representative of the insurer reading as follows: "I certify that this illustration has been
presented to the applicant and that I have explained that any nonguaranteed elements
illustrated are subject to change. I have made no statements that are inconsistent with
the illustration."
5.
Tabular detail.
a.
A basic illustration must include the following 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 except for term insurance beyond the twentieth year, for any year in
which the premium outlay and contract premium, if applicable, is to change:
(1)
The premium outlay and mode the applicant plans to pay and the contract premium,
as applicable;
(2)
The corresponding guaranteed death benefit, as provided in the policy; and
(3)
The corresponding guaranteed value available upon surrender, as provided in the
policy.
b.
For a policy that provides for a contract premium, the guaranteed death benefit and value
available upon surrender must correspond to the contract premium.
c.
Nonguaranteed elements may be shown if described in the contract. In the case of an
illustration for a policy on which the insurer intends to credit terminal dividends, they may
be shown if the insurer's current practice is to pay terminal dividends. If any
nonguaranteed elements are shown they must be shown at the same durations as the
corresponding guaranteed elements, if any. If no guaranteed benefit or value is available
at any duration for which a nonguaranteed benefit or value is shown, a zero must be
displayed in the guaranteed column.