NDAC 45-04-04-03
Insurance policy requirements
Cite as N.D. Admin. Code ยง 45-04-04-03
The commissioner will not approve any variable life insurance form filed pursuant to this chapter
unless it conforms to the requirements of this section.
1.
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 part
of the policy and which relate to the variable nature of the policy, must be filed with the
commissioner and approved by the commissioner prior to delivery or issuance for delivery in
this state.
a.
The procedures and requirements for filing and approval are, to the extent appropriate
and not inconsistent with this chapter, the same as those otherwise applicable to other
life insurance policies.
b.
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 chapter.
2.
Mandatory policy benefit and design requirements. Variable life insurance policies
delivered or issued for delivery in this state must comply with the following minimum
requirements:
a.
Mortality and expense risks must be borne by the insurer. The mortality and expense
charges must be subject to the maximums stated in the contract.
b.
For scheduled premium policies, a minimum death benefit must 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 subdivision b of subsection 3.
c.
The policy must 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.
d.
Each variable life insurance policy must be credited with the full amount of the net
investment return applied to the benefit base.
e.
Any changes in variable death benefits of each variable life insurance policy must be
determined at least annually.
f.
The cash value of each variable life insurance policy must be determined at least
monthly. The method of computation of cash values and other nonforfeiture 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, must 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 nonforfeiture benefits must be at least equal to the minimum values
required by North Dakota Century Code chapter 26.1-33 for a general account policy with
such premiums and benefits. The assumed investment rate may not exceed the
maximum interest rate permitted under North Dakota Century Code chapter 26.1-33. If
the policy does not contain an assumed investment rate this demonstration must be
based on the maximum interest rate permitted under North Dakota Century Code chapter
26.1-33. The method of computation may disregard incidental minimum guarantees as to
the dollar amounts payable. Incidental minimum guarantees include, for example, but are
not to be limited to, a guarantee that the amount payable at death or maturity is 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.
g.
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.
3.
Mandatory policy provisions. Every variable life insurance policy filed for approval in this
state must contain at least the following:
a.
The cover page or pages corresponding to the cover pages of each such policy shall
contain:
(1)
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.
(2)
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.
(3)
A statement describing any minimum death benefit required pursuant to
subdivision b of subsection 2.
(4)
The method, or a reference to the policy provision which describes the method, for
determining the amount of insurance payable at death.
(5)
To the extent permitted by state law, a captioned provision that the policyholder may
return the variable life insurance policy within ten 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 must be the total of all premium payments for such policy.
(6)
Such other items as are currently required for fixed benefit life insurance policies
and which are not inconsistent with this chapter.
b.
(1)
For scheduled premium policies, a provision for a grace period of not less than
thirty-one days from the premium due date which must 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.
(2)
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 must end on a date not less than sixty-one days after the
mailing date of the report to policyholders required by subsection 3 of section
45-04-04-08.
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 days occur monthly, the insurer may require the payment of not more
than three 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.
c.
For scheduled premium policies, a provision that the policy will be reinstated at any time
within two 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 that permitted by North Dakota
law.
d.
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.
e.
A provision designating the separate account to be used and stating that:
(1)
The assets of the separate account will 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.
(2)
The assets of such separate account will be valued at least as often as any policy
benefits vary but at least monthly.
f.
A provision specifying what documents constitute the entire insurance contract under
state law.
g.
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 the insured's behalf, are considered as representations and not warranties.
h.
An identification of the owner of the insurance contract.
i.
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.
j.
A statement of any conditions or requirements concerning the assignment of the policy.
k.
A description of any adjustments in the policy values to be made in the event of
misstatement of age or sex of the insured.
l.
A provision that the policy is 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, is incontestable after any such increase has been in
force, during the lifetime of the insured, for two years from the date of issue of such
increase.
m.
A provision stating that the investment policy of the separate account will not 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.
n.
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:
(1)
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
(2)
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.
o.
If settlement options are provided, at least one such option must be provided on a fixed
basis only.
p.
A description of the basis for computing the cash value and the surrender value under
the policy.
q.
Premiums or charges for incidental insurance benefits must be stated separately.
r.
Any other policy provision required by this chapter.
s.
Such other items as are currently required for fixed benefit life insurance policies and are
not inconsistent with this chapter.
t.
A provision for nonforfeiture insurance benefits. The insurer may establish a reasonable
minimum cash value below which any nonforfeiture insurance options will not be
available.
4.
Policy loan provision. Every variable life insurance policy, other than term insurance policies
and pure endowment policies, delivered or issued for delivery in this state must contain
provisions which are not less favorable to the policyholder than the following:
a.
A provision for policy loans after the policy has been in force for three full years which
provides the following:
(1)
At least seventy-five percent of the policy's cash surrender value may be borrowed.
(2)
The amount borrowed must bear interest at a rate not to exceed that permitted by
chapter 45-04-03.
(3)
Any indebtedness must be deducted from the proceeds payable on death.
(4)
Any indebtedness must be deducted from the cash surrender value upon surrender
or in determining any nonforfeiture 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 3 of section 45-04-04-08.
(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 one hundred percent 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 may not apply to any automatic premium loan provision.
(8)
No policy loan provision is required if the policy is under extended insurance
nonforfeiture option.
(9)
The policy loan provisions may 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 loan provision
must be withdrawn from the separate account and must be returned to the separate
account upon repayment except that a stock insurer may provide the amounts for
policy loans from the general account.
5.
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:
a.
An exclusion for suicide within one year of the issue date of the policy; provided,
however, that to the extent of the increased death benefits only, the policy may provide
an exclusion for suicide within one year of any increase in death benefits which results
from an application of the owner subsequent to the policy issue date.
b.
Incidental insurance benefits may be offered on a fixed or variable basis.
c.
Policies issued on a participating basis must offer to pay dividend amounts in cash. In
addition, such policies may offer the following dividend options:
(1)
The amount of the dividend may be credited against premium payments.
(2)
The amount of the dividend may be applied to provide amounts of additional fixed or
variable benefit life insurance.
(3)
The amount of the dividend may be deposited in the general account at a specified
minimum rate of interest.
(4)
The amount of the dividend may be applied to provide paid-up amounts of fixed
benefit one-year term insurance.
(5)
The amount of the dividend may be deposited as a variable deposit in a separate
account.
d.
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, except that a restriction that no more than two
consecutive premiums can be paid under this provision may be imposed.
e.
A provision allowing the policyholder to make partial withdrawals.
f.
Any other policy provision approved by the commissioner.