230-RICR-20-25-3
230-RICR-20-25-3. Life Insurance Disclosure (formerly Insurance Regulation 27) (version Technical Revision, 02/20/2006 to 01/28/2018)
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Reg. # 27
State of Rhode Island and Providence Plantations
DEPARTMENT OF BUSINESS REGULATION
Division of Insurance
1511 Pontiac Avenue
Cranston, RI 02920
INSURANCE REGULATION 27
LIFE INSURANCE DISCLOSURE
Table of Contents
Section 1
Authority
Section 2
Purpose
Section 3
Scope
Section 4
Definitions
Section 5
Duties of Insurers
Section 6
General Rules
Section 7
Failure to Comply
Section 8
Effective Date
Appendix A
Life Insurance Buyer’s Guide
Section 1
Authority
This rule is adopted and promulgated pursuant to R.I. Gen. Laws §§ 27-29-4(1),
27-4-23 and 42-35-1(8).
Section 2
Purpose
(A)
The purpose of this Regulation is to require insurers to deliver to purchasers of
life insurance, information which will improve the buyer's ability to select the
most appropriate plan of life insurance for his needs and improve the buyer's
understanding of the basic features of the policy which has been purchased or
which is under consideration.
(B)
This Regulation does not prohibit the use of additional material which is not in
violation of this regulation or any other Rhode Island statute or regulation.
Section 3
Scope
(A)
Except for the exemptions specified in Section 3(B), this Regulation shall apply to
any solicitation, negotiation or procurement of life insurance occurring within this
state. This Regulation shall apply to any issuer of life insurance contracts
including fraternal benefit societies.
(B)
This regulation shall not apply to:
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1.
Individual and group annuity contracts;
2.
Credit life insurance;
3.
Group life insurance;
4.
Life insurance policies issued in connection with pension and welfare
plans as defined by and which are subject to the federal Employee
Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. § 1001 et
seq. as amended; or
5.
Variable life insurance under which the amount or duration of the life
insurance varies according to the investment experience of a separate
account.
Section 4
Definitions
For the purposes of this Regulation, the following definitions shall apply:
(A)
“Buyer's Guide” means the current Life Insurance Buyer’s Guide adopted by the
National Association of Insurance Commissioners (NAIC) or language approved
by Insurance Commissioner.
(B)
“Current scale of nonguaranteed elements” means a formula or other mechanism
that produces values for an illustration as if there is no change in the basis of those
values after the time of illustration.
(C)
“Generic Name” means a short title which is descriptive of the premium and
benefit patterns of a policy or a rider.
(E)
“Policy data” means a display or schedule of numerical values, both guaranteed
and nonguaranteed for each policy year or a series of designated policy years of
the following information: illustrated annual, other periodic, and terminal
dividends; premiums; death benefits; cash surrender values and endowment
benefits.
(F)
“Policy Summary” means a written statement describing the elements of the
policy including but not limited to:
1.
A prominently placed title as follows: STATEMENT OF POLICY COST
AND BENEFIT INFORMATION.
2.
The name and address of the insurance agent, or, if no agent is involved, a
statement of the procedure to be followed in order to receive responses to
inquiries regarding the Policy Summary.
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3.
The full name and home office or administrative office address of the
company in which the life insurance policy is to be or has been written.
4.
The Generic Name of the basic policy and each rider.
5.
The following amounts, where applicable, for the first five (5) policy years
and representative policy years thereafter sufficient to clearly illustrate the
premium and benefit patterns, including at least one (1) age from sixty
(60) through sixty-five (65) and policy maturity:
a.
The annual premium for the basic policy;
b.
The annual premium for each optional rider;
c.
The amount payable upon death at the beginning of the policy year
regardless of the cause of death, other than suicide or other
specifically enumerated exclusions, which is provided by the basic
policy and each optional rider, with benefits provided under the
basic policy and each rider shown separately;
d.
The total guaranteed cash surrender values at the end of the year
with values shown separately for the basic policy and each rider,
and
e.
Any endowment amounts payable under the policy that are not
included under guaranteed cash surrender values above.
6.
The effective policy loan annual percentage interest rate, if the policy
contains this provision, specifying whether this rate is applied in advance
or in arrears. If the policy loan interest rate is adjustable, the Policy
Summary shall also indicate that the annual percentage rate will be
determined by the company in accordance with the provisions of the
policy and the applicable law; and
7.
The date on which the Policy Summary is prepared.
Section 5
Duties of Insurers
(A)
Requirements Applicable Generally
1.
The insurer shall provide, to all prospective purchasers, a Buyer's Guide
and prior to accepting the applicant's initial premium or premium deposit.
However, if the policy for which application is made contains an
unconditional refund provision of at least ten (10) days, the Buyer's Guide
must be delivered with the policy or prior to delivery of the policy.
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2.
The insurer shall provide a policy summary to prospective purchasers
where the insurer has identified the policy form as one that will not be
marketed with an illustration. The policy summary shall show guarantees
only. It shall consist of a separate document with all required information
set out in a manner that does not minimize or render any portion of the
summary obscure. Any amounts that remain level for two (2) or more
years of the policy may be represented by a single number if it is clearly
indicated what amounts are applicable for each policy year. Amounts in
Section 4(F)5 shall be listed in total, not on a per thousand or per unit
basis. If more than one insured is covered under one policy or rider, death
benefits shall be displayed separately for each insured or for each class of
insureds if death benefits do not differ within the class. Zero amounts shall
be displayed as a blank space. Delivery of the policy summary shall be
consistent with the time for delivery of the Buyer’s Guide as specified in
Paragraph (1).
(B)
Requirements Applicable to Existing Policies.
1.
Upon request by the policyowner, the insurer shall furnish either policy
data or an in-force illustration as follows:
a.
For policies issued prior to the effective date of R.I.G.L. §§ 27-62-
1, et seq, the insurer shall furnish policy data, or, at its option, an
in-force illustration meeting the requirements of R.I.G.L.§§ 27-62-
1, et seq.
b.
For policies issued on or after the effective date of R.I.G.L. §§ 27-
62-1, et seq, that were declared not to be used with an illustration,
the insurer shall furnish policy data, limited to guaranteed values,
if it has chosen not to furnish an in-force illustration meeting the
above requirements.
c.
If the policy was issued on or after the effective date of R.I.G.L. §§
27-62-1, et seq, and declared to be used with an illustration, an in-
force illustration shall be provided.
d.
Unless otherwise requested, the policy data shall be provided for
twenty (20) consecutive years beginning with the previous policy
anniversary. The statement of policy data shall include
nonguaranteed elements according to the current scale, the amount
of outstanding policy loans, and the current policy loan interest
rate. Policy values shown shall be based on the current application
of nonguaranteed elements in effect at the time of the request. The
insurer may not charge a fee for the preparation of the statement.
2.
If a life insurance company changes its method of determining scales of
nonguaranteed elements on existing policies; it shall, no later than when
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the first payment is made on the new basis, advise each affected policy
owner residing in this state of this change and of its implication on
affected policies. This requirement shall not apply to policies for which
the amount payable upon death under the basic policy as of the date when
advice would otherwise be required does not exceed $5,000.
3.
If the insurer makes a material revision in the terms and conditions under
which it will limit its right to change any nonguaranteed factor; it shall, no
later than the first policy anniversary following the revision, advise each
affected policy owner residing in this state.
Section 6
General Rules
(A)
Each insurer shall maintain at its home office or principal office, a complete file
containing one (1) copy of each document authorized and used by the insurer
pursuant to this regulation. Such file shall contain one (1) copy of each authorized
form for a period of three (3) years following the date of its last authorized use
unless otherwise provided by this regulation.
(B)
An agent shall inform the prospective purchaser, prior to commencing a life
insurance sales presentation, that he is acting as a life insurance agent and inform
the prospective purchaser of the full name of the insurance company which he is
representing to the buyer. In sales situations in which an agent is not involved, the
insurer shall identify its full name.
(C)
An insurance producer shall not use terms such as “financial planner,”
“investment advisor,” “financial consultant,” or “financial counseling” in such a
way as to imply that the insurance agent is primarily engaged in an advisory
business in which compensation is unrelated to sales unless such is actually the
case. This provision is not intended to preclude persons who hold some form of
formal recognized financial planning or consultant designation from using this
designation even when they are only selling insurance. This provision also is not
intended to preclude persons who are members of a recognized trade or
professional association having such terms as part of its name from citing
membership, providing that a person citing membership, if authorized only to sell
insurance products, shall disclose that fact. This provision does not permit persons
to charge an additional fee for services that are customarily associated with the
solicitation, negotiation or servicing of policies.
(D)
Any reference to nonguaranteed elements must include a statement that the item is
not guaranteed and is based on the company’s current scale of nonguaranteed
elements (use appropriate special term such as “current dividend” or “current
rate” scale.) If a nonguaranteed element would be reduced by the existence of a
policy loan, a statement to that effect shall be included in any reference to
nonguaranteed elements. A presentation or depiction of a policy issued after the
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effective date of R.I.G.L. §§ 27-62-1, et seq., that includes nonguaranteed
elements over a period of years shall be governed by R.I.G.L. §§ 27-62-1, et seq.
Section 7
Failure to Comply
Failure of an insurer to provide or deliver a Buyer's Guide, an in-force illustration,
a Policy Summary or policy data as provided in Section 5 shall constitute an omission
which misrepresents the benefits, advantages, conditions or terms of an insurance policy.
Section 8
Effective Date
This Regulation shall apply to all solicitations of life insurance that commence on
or after October 1, 2006. Insurers may comply with the terms of this Regulation at their
option beginning on the effective date of these amendments as noted below; however, the
Department will not mandate compliance until October 1, 2006.
EFFECTIVE DATE:
January 1, 1979
AMENDED:
October 7, 1997
REFILED:
December 19, 2001
AMENDED:
February 20, 2006
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APPENDIX
LIFE INSURANCE BUYER'S GUIDE
The language in the Buyer's Guide is limited to that contained in this Appendix, or to
language approved by the Director of Business Regulation. Companies may purchase
personalized brochures from the NAIC or may reproduce the Buyer's Guide in their own
type style (at least 10 point) and format.
The Buyer's Guide shall read as follows:
LIFE INSURANCE BUYER'S GUIDE
This guide can help you when you shop for life insurance. It discusses how to:
• Find a policy that meets your needs and fits your budget
• Decide how much insurance you need
• Make informed decisions when you buy a policy
Prepared by the National Association of Insurance Commissioners
The National Association of Insurance Commissioners is an association of state insurance
regulatory officials. This association helps the various Insurance Departments to
coordinate insurance laws for the benefit of all consumers.
This guide does not endorse any company or policy.
(optional) Reprinted by [Name of insurer or other person]
IMPORTANT THINGS TO CONSIDER
1.
Review your own insurance needs and circumstances. Choose the kind of policy
that has benefits that most closely fit your needs. Ask an agent or company to help
you.
2.
Be sure that you can handle premium payments. Can you afford the initial
premium? If the premium increases later and you still need insurance, can you
still afford it?
3.
Don't sign an insurance application until you review it carefully to be sure all the
answers are complete and accurate.
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4.
Don't buy life insurance unless you intend to stick with your plan. It may be very
costly if you quit during the early years of the policy.
5.
Don't drop one policy and buy another without a thorough study of the new policy
and the one you have now. Replacing your insurance may be costly.
6.
Read your policy carefully. Ask your agent or company about anything that is not
clear to you.
7.
Review your life insurance program with your agent or company every few years
to keep up with changes in your income and your needs.
Buying Life Insurance
When you buy life insurance, you want coverage that fits your needs.
First, decide how much you need – and for how long – and what you can afford to pay.
Keep in mind the major reason you buy life insurance is to cover the financial effects of
unexpected or untimely death. Life insurance can also be one of many ways you plan for
the future.
Next, learn what kinds of policies will meet your needs and pick the one that best suits
you.
Then, choose the combination of policy premium and benefits that emphasizes protection
in case of early death, or benefits in case of long life, or a combination of both.
It makes good sense to ask a life insurance agent or company to help you. An agent can
help you review your insurance needs and give you information about the available
policies. If one kind of policy doesn't seem to fit your needs, ask about others.
This guide provides only basic information. You can get more facts from a life insurance
agent or company or from your public library.
What About the Policy You Have Now?
If you are thinking about dropping a life insurance policy, here are some things you
should consider:
• If you decide to replace your policy, don't cancel your old policy until you
have received the new one. You then have a minimum period to review your
new policy and decide if it is what you wanted.
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• It may be costly to replace a policy. Much of what you paid in the early years
of the policy you have now, paid for the company's cost of selling and issuing
the policy. You may pay this type of cost again if you buy a new policy.
• Ask your tax advisor if dropping your policy could affect your income taxes.
• If you are older or your health has changed, premiums for the new policy will
often be higher. You will not be able to buy a new policy if you are not
insurable.
• You may have valuable rights and benefits in the policy you now have that are
not in the new one.
• If the policy you have now no longer meets your needs, you may not have to
replace it. You might be able to change your policy or add to it to get the
coverage or benefits you now want.
• At least in the beginning, a policy may pay no benefits for some causes of
death covered in the policy you have now.
In all cases, if you are thinking of buying a new policy, check with the agent or company
that issued you the one you have now. When you bought your old policy, you may have
seen an illustration of the benefits of your policy. Before replacing your policy, ask your
agent or company for an updated illustration. Check to see how the policy has performed
and what you might expect in the future, based on the amounts the company is paying
now.
How Much Do You Need?
Here are some questions to ask yourself:
• How much of the family income do I provide? If I were to die early, how
would my survivors, especially my children, get by? Does anyone else depend
on me financially, such as a parent, grandparent, brother or sister?
• Do I have children for whom I'd like to set aside money to finish their
education in the event of my death?
• How will my family pay final expenses and repay debts after my death?
• Do I have family members or organizations to whom I would like to leave
money?
• Will there be estate taxes to pay after my death?
• How will inflation affect future needs?
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As you figure out what you have to meet these needs, count the life insurance you have
now, including any group insurance where you work or veteran's insurance. Don't forget
Social Security and pension plan survivor's benefits. Add other assets you have: savings,
investments, real estate and personal property. Which assets would your family sell or
cash in to pay expenses after your death?
What Is the Right Kind of Life Insurance?
All policies are not the same. Some give coverage for your lifetime and others cover you
for a specific number of years. Some build up cash values and others do not. Some
policies combine different kinds of insurance, and others let you change from one kind of
insurance to another. Some policies may offer other benefits while you are still living.
Your choice should be based on your needs and what you can afford.
There are two basic types of life insurance: term insurance and cash value insurance.
Term insurance generally has lower premiums in the early years, but does not build up
cash values that you can use in the future. You may combine cash value life insurance
with term insurance for the period of your greatest need for life insurance to replace
income.
Term Insurance covers you for a term of one or more years. It pays a death benefit only
if you die in that term. Term insurance generally offers the largest insurance protection
for your premium dollar. It generally does not build up cash value.
You can renew most term insurance policies for one or more terms even if your health
has changed. Each time you renew the policy for a new term, premiums may be higher.
Ask what the premiums will be if you continue to renew the policy. Also ask if you will
lose the right to renew the policy at some age. For a higher premium, some companies
will give you the right to keep the policy in force for a guaranteed period at the same
price each year. At the end of that time you may need to pass a physical examination to
continue coverage, and premiums may increase.
You may be able to trade many term insurance policies for a cash value policy during a
conversion period – even if you are not in good health. Premiums for the new policy will
be higher than you have been paying for the term insurance.
Cash Value Life Insurance is a type of insurance where the premiums charged are
higher at the beginning than they would be for the same amount of term insurance. The
part of the premium that is not used for the cost of insurance is invested by the company
and builds up a cash value that may be used in a variety of ways. You may borrow
against a policy's cash value by taking a policy loan. If you don't pay back the loan and
the interest on it, the amount you owe will be subtracted from the benefits when you die,
or from the cash value if you stop paying premiums and take out the remaining cash
value. You can also use your cash value to keep insurance protection for a limited time or
to buy a reduced amount without having to pay more premiums. You also can use the
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cash value to increase your income in retirement or to help pay for needs such as a child's
tuition without canceling the policy. However, to build up this cash value, you must pay
higher premiums in the earlier years of the policy. Cash value life insurance may be one
of several types; whole life, universal life and variable life are all types of cash value
insurance.
Whole Life Insurance covers you for as long as you live if your premiums are paid. You
generally pay the same amount in premiums for as long as you live. When you first take
out the policy, premiums can be several times higher than you would pay initially for the
same amount of term insurance. But they are smaller than the premiums you would
eventually pay if you were to keep renewing a term policy until your later years.
Some whole life policies let you pay premiums for a shorter period such as 20 years or
until age 65. Premiums for these policies are higher since the premium payments are
made during a shorter period.
Universal Life Insurance is a kind of flexible policy that lets you vary your premium
payments. You can also adjust the face amount of your coverage. Increases may require
proof that you qualify for the new death benefit. The premiums you pay (less expense
charges) go into a policy account that earns interest. Charges are deduced from the
account. If your yearly premium payment plus the interest your account earns is less than
the charges, your account value will become lower. If it keeps dropping, eventually your
coverage will end. To prevent that, you may need to start making premium payments, or
increase your premium payments, or lower your death benefits. Even if there is enough in
your account to pay the premiums, continuing to pay premiums yourself means that you
build up more cash value.
Variable Life Insurance is a kind of insurance where the death benefits and cash values
depend on the investment performance of one or more separate accounts, which may be
invested in mutual funds or other investments allowed under the policy. Be sure to get the
prospectus from the company when buying this kind of policy and STUDY IT
CAREFULLY. You will have higher death benefits and cash value if the underlying
investments do well. Your benefits and cash value will be lower or may disappear if the
investments you chose didn't do as well as you expected. You may pay an extra premium
for a guaranteed death benefit.
Life Insurance Illustrations
You may be thinking of buying a policy where cash values, death benefits, dividends or
premiums may vary based on events or situations the company does not guarantee (such
as interest rates). If so, you may get an illustration from the agency or company that helps
explain how the policy works. The illustration will show how the benefits that are not
guaranteed will change as interest rates and other factors change. The illustration will
show you what the company guarantees. It will also show you what could happen in the
future. Remember that nobody knows what will happen in the future. You should be
ready to adjust your financial plans if the cash value doesn't increase as quickly as shown
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in the illustration. You will be asked to sign a statement that says you understand that
some of the numbers in the illustrations are not guaranteed.
Finding a Good Value in Life Insurance
After you have decided which kind of life insurance is best for you, compare similar
policies from different companies to find which one is likely to give you the best value
for your money. A simple comparison of the premiums is not enough. There are other
things to consider. For example:
• Do premiums or benefits vary from year to year?
• How much do the benefits build up in the policy?
• What part of the premiums or benefits is not guaranteed?
• What is the effect of interest on money paid and received at different times on
the policy?
Remember that no one company offers the lowest cost at all ages for all kinds and
amounts of insurance. You should also consider other factors:
• How quickly does the cash value grow? Some polices have low cash values in
the early years that build up quickly later on. Other policies have a more level
cash value build-up. A year-by-year display of values and benefits can be very
helpful. (The agent or company will give you a policy summary or an
illustration that will show benefits and premiums for selected years.)
• Are there special policy features that particularly suit your needs?
• How are nonguaranteed values calculated? For example, interest rates are
important in determining policy returns. In some companies increases reflect
the average interest earnings on all of that company's policies regardless of
when issued. In others, the return for policies issued in a recent year, or a
group of years, reflects the interest earnings on that group of policies; in this
case, amounts paid are likely to change more rapidly when interest rates
change.