230-RICR-20-25-11
230-RICR-20-25-11. Military Sales Practices (version Technical Revision, 10/20/2011 to 01/04/2022)
11.1 Purpose
A. The purpose of this Part is
to set forth standards to protect active duty service members of the
United States Armed Forces from dishonest and predatory insurance
sales practices by declaring certain identified practices to be
false, misleading, deceptive or unfair.
B. Nothing herein shall be
construed to create or imply a private cause of action for a
violation of this Part.
11.2 Scope
This Part shall apply only to
the solicitation or sale of any life insurance or annuity product by
an insurer or insurance producer to an active duty service member of
the United States Armed Forces.
11.3 Authority
This Part is issued under the
authority of R.I. Gen. Laws Chapter 27-29 and § 42-14-17.
11.4 Exemptions
A. This Part shall not apply
to solicitations or sales involving:
1. Credit insurance;
2. Group life insurance or
group annuities where there is no in-person, face-to-face
solicitation of individuals by an insurance producer or where the
contract or certificate does not include a side fund;
3. An application to the
existing insurer that issued the existing policy or contract when a
contractual change or a conversion privilege is being exercised; or,
when the existing policy or contract is being replaced by the same
insurer pursuant to a program filed with and approved by the
commissioner; or, when a term conversion privilege is exercised among
corporate affiliates;
4. Individual stand-alone
health policies, including disability income policies;
5. Contracts offered by
Servicemembers’ Group Life Insurance (SGLI) or Veterans’ Group
Life Insurance (VGLI), as authorized by 38 U.S.C. § 1965 et seq.
6. State Sponsored Life
Insurance (SSLI) provided by a State or a State National Guard
Association as authorized by 37 U.S.C. § 707 et seq.;
7. Life insurance contracts
offered through or by a non-profit military association, qualifying
under § 501(c)(23) of the Internal Revenue Code (IRC), and which are
not underwritten by an insurer; or
8. Contracts used to fund:
a. An employee pension or
welfare benefit plan that is covered by the Employee Retirement and
Income Security Act (ERISA);
b. A plan described by §§
401(a), 401(k), 403(b), 408(k) or 408(p) of the IRC, as amended, if
established or maintained by an employer;
c. A government or church plan
defined in § 414 of the IRC, a government or church welfare benefit
plan, or a deferred compensation plan of a state or local government
or tax exempt organization under § 457 of the IRC;
d. A nonqualified deferred
compensation arrangement established or maintained by an employer or
plan sponsor;
e. Settlements of or
assumptions of liabilities associated with personal injury litigation
or any dispute or claim resolution process; or
f. Prearranged funeral
contracts.
B. Nothing herein shall be
construed to abrogate the ability of nonprofit organizations (and/or
other organizations) to educate members of the United States Armed
Forces in accordance with Department of Defense DoD Instruction
1344.07 - Personal Commercial Solicitation on DoD Installations or
successor directive.
C. For purposes of this Part,
general advertisements, direct mail and internet marketing shall not
constitute “solicitation.” Telephone marketing shall not
constitute "solicitation" provided the caller explicitly
and conspicuously discloses that the product concerned is life
insurance and makes no statements that avoid a clear and unequivocal
statement that life insurance is the subject matter of the
solicitation. Provided however, nothing in this subsection shall be
construed to exempt an insurer or insurance producer from this Part
in any in-person, face-to-face meeting established as a result of the
“solicitation” exemptions identified in this subsection.
11.5 Definitions
A. “Active duty” means
full-time duty in the active military service of the United States
and includes members of the reserve component (National Guard and
Reserve) while serving under published orders for active duty or
full-time training. The term does not include members of the reserve
component who are performing active duty or active duty for training
under military calls or orders specifying periods of less than 31
calendar days.
B. “Department of Defense
(DoD) personnel” means all active duty service members and all
civilian employees, including nonappropriated fund employees and
special government employees, of the Department of Defense.
C. “Door to door” means a
solicitation or sales method whereby an insurance producer proceeds
randomly or selectively from household to household without prior
specific appointment.
D. “General advertisement”
means an advertisement having as its sole purpose the promotion of
the reader's or viewer's interest in the concept of insurance, or the
promotion of the insurer or the insurance producer.
E. “Insurer” means an
insurance company required to be licensed under the laws of this
state to provide life insurance products, including annuities.
F. “Insurance producer”
means a person required to be licensed under the laws of this state
to sell, solicit or negotiate life insurance, including annuities.
G. “Known” or “Knowingly”
means, depending on its use herein, the insurance producer or insurer
had actual awareness, or in the exercise of ordinary care should have
known, at the time of the act or practice complained of, that the
person solicited:
1. Is a service member; or
2. Is a service member with a
pay grade of E-4 or below.
H. “Life insurance” means
insurance coverage on human lives including benefits of endowment and
annuities, and may include benefits in the event of death or
dismemberment by accident and benefits for disability income and
unless otherwise specifically excluded, includes individually issued
annuities.
I. “Military installation”
means any federally owned, leased, or operated base, reservation,
post, camp, building, or other facility to which service members are
assigned for duty, including barracks, transient housing, and family
quarters.
J. “MyPay” is a Defense
Finance and Accounting Service (DFAS) web-based system that enables
service members to process certain discretionary pay transactions or
provide updates to personal information data elements without using
paper forms.
K. “Service member” means
any active duty officer (commissioned and warrant) or enlisted member
of the United States Armed Forces.
L. “Side fund” means a
fund or reserve that is part of or otherwise attached to a life
insurance policy (excluding individually issued annuities) by rider,
endorsement or other mechanism which accumulates premium or deposits
with interest or by other means. The term does not include:
1. Accumulated value or cash
value or secondary guarantees provided by a universal life policy;
2. Cash values provided by a
whole life policy which are subject to standard nonforfeiture law for
life insurance; or
3. A premium deposit fund
which:
a. Contains only premiums paid
in advance which accumulate at interest;
b. Imposes no penalty for
withdrawal;
c. Does not permit funding
beyond future required premiums;
d. Is not marketed or intended
as an investment; and
e. Does not carry a
commission, either paid or calculated.
M. “Specific appointment”
means a prearranged appointment agreed upon by both parties and
definite as to place and time.
N. “United States Armed
Forces” means all components of the Army, Navy, Air Force, Marine
Corps, and Coast Guard.
11.6 Practices Declared False,
Misleading, Deceptive or Unfair on a Military Installation
A. The following acts or
practices when committed on a military installation by an insurer or
insurance producer with respect to the in-person, face-to-face
solicitation of life insurance are declared to be false, misleading,
deceptive or unfair:
1. Knowingly soliciting the
purchase of any life insurance product “door to door” or without
first establishing a specific appointment for each meeting with the
prospective purchaser.
2. Soliciting service members
in a group or “mass” audience or in a “captive” audience
where attendance is not voluntary.
3. Knowingly making
appointments with or soliciting service members during their normally
scheduled duty hours.
4. Making appointments with or
soliciting service members in barracks, day rooms, unit areas, or
transient personnel housing or other areas where the installation
commander has prohibited solicitation.
5. Soliciting the sale of life
insurance without first obtaining permission from the installation
commander or the commander’s designee.
6. Posting unauthorized
bulletins, notices or advertisements.
7. Failing to present DD Form
2885, Personal Commercial Solicitation Evaluation, to service members
solicited or encouraging service members solicited not to complete or
submit a DD Form 2885.
8. Knowingly accepting an
application for life insurance or issuing a policy of life insurance
on the life of an enlisted member of the United States Armed Forces
without first obtaining for the insurer’s files a completed copy of
any required form which confirms that the applicant has received
counseling or fulfilled any other similar requirement for the sale of
life insurance established by regulations, directives or rules of the
DoD or any branch of the Armed Forces.
B. The following acts or
practices when committed on a military installation by an insurer or
insurance producer constitute corrupt practices, improper influences
or inducements and are declared to be false, misleading, deceptive or
unfair:
1. Using DoD personnel,
directly or indirectly, as a representative or agent in any official
or business capacity with or without compensation with respect to the
solicitation or sale of life insurance to service members.
2. Using an insurance producer
to participate in any United States Armed Forces sponsored education
or orientation program.
11.7 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
subsection does 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, a formal banking
relationship is established when the depository institution:
a. provides the service member
a deposit agreement and periodic statements and makes the disclosures
required by the Truth 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 banking relationship as
defined in § 11.7(A)(2) of this Part.
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 DoD personnel,
directly or indirectly, as a representative or agent in any official
or unofficial capacity 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 DoD personnel 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.”
2. 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 an accredited 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).
3. Soliciting the purchase of
any life insurance product through the use of or in conjunction with
any third party organization 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 either the insurer, insurance producer or insurance
product is 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 regarding SGLI 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 dependents by
SGLI or VGLI, which is false, misleading or deceptive.
2. Making any representation
regarding conversion requirements, including the 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 life insurance.
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-face
meeting with a prospective purchaser.
3. Excluding individually
issued annuities, failing to clearly and conspicuously disclose the
fact that the product being sold is life insurance.
4. Failing to make, at the
time of sale or offer to 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-face
with 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
Part 3 of this Subchapter 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 insurance death benefit, standing alone, is suitable.
2. Offering for sale or
selling a 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
issued annuities, 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. Excluding individually
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
product to 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 an
accidental death coverage, e.g., double indemnity, which may be
excluded.
11.8 Severability
If any provision of these
sections or the application thereof to any person or circumstance is
held invalid for any reason, the invalidity shall not affect the
other provisions or any other application of these sections which can
be given effect without the invalid provisions or application. To
this end all provisions of these sections are declared to be
severable.